Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $262.39 / $779.80	Facility		$81.58	$262.39	$779.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $36.17 / $57.77	Professional		$28.74	$36.17	$57.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $31.40 / $48.86	Professional		$29.48	$31.40	$48.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $34.18 / $80.81	Professional		$24.86	$34.18	$80.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $39.51 / $39.51	Facility		$39.51	$39.51	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $59.73	Professional		$25.00	$39.00	$59.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $43.38 / $56.40	Facility		$30.37	$43.38	$56.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $38.07 / $48.00	Professional		$29.35	$38.07	$48.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $40.63 / $55.63	Professional		$33.47	$40.63	$55.63
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $42.48 / $88.48	Professional		$33.47	$42.48	$88.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $69.42 / $190.00	Facility		$66.39	$69.42	$190.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $295.35 / $295.35	Professional		$225.09	$295.35	$295.35