Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $125.89 / $416.87	Facility		$26.92	$125.89	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $323.59	Professional		$75.86	$93.33	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $223.87	Professional		$128.82	$169.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $173.78	Facility		$75.86	$93.33	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $117.49 / $199.53	Professional		$30.20	$117.49	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $177.83	Professional		$83.18	$109.65	$177.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $676.08	Professional		$512.86	$676.08	$676.08