Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $309.03	Facility		$38.90	$56.23	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $112.20	Professional		$35.48	$41.69	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $81.28	Professional		$36.31	$63.10	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $97.72	Professional		$30.90	$42.66	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $112.20	Professional		$38.02	$60.26	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $75.86	Facility		$37.15	$44.67	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $79.43	Professional		$37.15	$46.77	$79.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $309.03	Professional		$251.19	$309.03	$309.03