Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $83.18 / $83.18	Facility		$72.44	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $109.65	Professional		$67.61	$79.43	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $83.18	Professional		$64.57	$64.57	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $100.00	Professional		$52.48	$70.79	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $169.82	Professional		$38.02	$75.86	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $125.89	Professional		$123.03	$123.03	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $131.83	Facility		$67.61	$85.11	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $169.82	Professional		$67.61	$89.13	$169.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $707.95	Professional		$537.03	$707.95	$707.95