Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $248.50 / $376.60	Facility		$35.53	$248.50	$376.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $59.97 / $103.51	Professional		$24.54	$59.97	$103.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Professional		$38.86	$38.86	$38.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $87.30 / $179.15	Professional		$37.76	$87.30	$179.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $74.45 / $148.69	Professional		$26.17	$74.45	$148.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $67.25 / $110.00	Facility		$24.54	$67.25	$110.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $128.68 / $183.32	Professional		$88.46	$128.68	$183.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $54.56 / $96.67	Professional		$28.49	$54.56	$96.67
United Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $92.39 / $156.10	Professional		$70.51	$92.39	$156.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $116.23 / $116.23	Facility		$116.23	$116.23	$116.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $222.37 / $476.90 / $497.63	Professional		$222.37	$476.90	$497.63