Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $77.05 / $81.75	Facility		$28.12	$77.05	$81.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $76.48 / $109.20	Professional		$28.12	$76.48	$109.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $221.20 / $221.20	Professional		$221.20	$221.20	$221.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $138.16 / $255.65	Professional		$44.49	$138.16	$255.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $46.38	Facility		$46.38	$46.38	$46.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.40 / $190.41	Professional		$32.34	$90.40	$190.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $84.45 / $156.00	Facility		$28.12	$84.45	$156.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $106.00 / $116.00	Professional		$60.00	$106.00	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $91.40 / $143.01	Professional		$37.79	$91.40	$143.01
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $102.10 / $191.02	Professional		$72.95	$102.10	$191.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $598.03 / $686.70	Professional		$304.58	$598.03	$686.70