Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $43.35 / $87.99	Facility		$9.35	$43.35	$87.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $68.27 / $355.77	Professional		$57.74	$68.27	$355.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $92.94	Professional		$80.42	$80.42	$92.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $104.91 / $135.56	Professional		$76.64	$104.91	$135.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $83.33 / $143.16	Professional		$60.80	$83.33	$143.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.15 / $68.12 / $103.66	Facility		$61.15	$68.12	$103.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $151.80 / $302.45	Professional		$68.12	$151.80	$302.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $84.84 / $101.71	Professional		$53.11	$84.84	$101.71
United Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $72.81 / $134.15	Professional		$56.77	$72.81	$134.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $274.45 / $274.45	Facility		$133.68	$274.45	$274.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $468.53 / $468.53	Professional		$384.82	$468.53	$468.53