Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $147.16 / $189.39	Facility		$142.50	$147.16	$189.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $63.19 / $93.88	Professional		$52.63	$63.19	$93.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $91.03 / $116.15	Professional		$49.85	$91.03	$116.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $73.01 / $144.80	Professional		$56.41	$73.01	$144.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $72.00 / $143.79	Professional		$47.00	$72.00	$143.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $65.65 / $83.02	Facility		$52.63	$65.65	$83.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $64.00 / $98.00	Professional		$56.42	$64.00	$98.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $59.79 / $84.38	Professional		$48.80	$59.79	$84.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $68.31 / $150.41	Professional		$52.79	$68.31	$150.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $297.30 / $297.30 / $297.30	Facility		$297.30	$297.30	$297.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $383.67 / $486.30 / $559.79	Professional		$383.67	$486.30	$559.79