Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $66.59 / $342.78	Facility		$52.56	$66.59	$342.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.05 / $31.88	Professional		$17.98	$22.05	$31.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Professional		$39.90	$39.90	$39.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $25.08 / $49.92	Professional		$18.23	$25.08	$49.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $25.00 / $49.45	Professional		$16.00	$25.00	$49.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $22.37 / $28.61	Facility		$18.09	$22.37	$28.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $22.31 / $34.00	Professional		$19.72	$22.31	$34.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.88 / $29.16	Professional		$16.80	$20.88	$29.16
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $24.30 / $56.28	Professional		$18.47	$24.30	$56.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $101.94 / $101.94	Facility		$101.94	$101.94	$101.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $165.90 / $191.40	Professional		$131.99	$165.90	$191.40