Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $50.82 / $112.01	Facility		$34.63	$50.82	$112.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $41.80 / $54.01	Professional		$32.77	$41.80	$54.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.40 / $48.40	Professional		$48.40	$48.40	$48.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $61.56 / $137.71	Professional		$32.54	$61.56	$137.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Facility		$57.14	$57.14	$57.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $66.66 / $120.55	Professional		$42.65	$66.66	$120.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $48.48 / $62.97	Facility		$34.63	$48.48	$62.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $44.09 / $59.56	Professional		$44.09	$44.09	$59.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $55.45 / $80.53	Professional		$50.26	$55.45	$80.53
United Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $58.87 / $103.04	Professional		$44.44	$58.87	$103.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $170.86 / $170.86	Facility		$69.56	$170.86	$170.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $311.85 / $429.60	Professional		$218.54	$311.85	$429.60