Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $210.69 / $226.84	Facility		$18.38	$210.69	$226.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.53 / $73.06	Professional		$17.80	$21.53	$73.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $25.69 / $32.75	Professional		$25.35	$25.69	$32.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $23.88 / $153.29	Professional		$17.05	$23.88	$153.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Facility		$29.80	$29.80	$29.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $39.02 / $107.08	Professional		$20.02	$39.02	$107.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $26.56 / $73.47	Facility		$18.16	$26.56	$73.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $85.00 / $96.75	Professional		$26.00	$85.00	$96.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $175.50	Professional		$23.80	$23.80	$175.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $44.54 / $107.16	Professional		$18.84	$44.54	$107.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $90.39 / $90.39	Facility		$36.67	$90.39	$90.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $271.23 / $371.24	Professional		$201.00	$271.23	$371.24