Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $70.79 / $190.55	Facility		$26.30	$70.79	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $95.50	Professional		$25.12	$61.66	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $112.20	Professional		$29.51	$29.51	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $91.20 / $218.78	Professional		$23.44	$91.20	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $79.43 / $154.88	Professional		$30.20	$79.43	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $123.03	Facility		$26.92	$61.66	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $208.93	Professional		$154.88	$194.98	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $60.26 / $114.82	Professional		$25.70	$60.26	$114.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $707.95	Professional		$467.74	$707.95	$707.95