Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $67.05 / $196.75	Facility		$64.16	$67.05	$196.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $59.70 / $77.11	Professional		$47.01	$59.70	$77.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $61.23	Professional		$61.23	$61.23	$61.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $76.54 / $149.81	Professional		$48.98	$76.54	$149.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $84.37	Facility		$84.37	$84.37	$84.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $95.28 / $146.94	Professional		$55.54	$95.28	$146.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $69.04 / $98.16	Facility		$50.52	$69.04	$98.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $86.00 / $86.00	Professional		$58.14	$86.00	$86.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.90 / $80.39	Professional		$50.00	$61.90	$80.39
United Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $68.52 / $127.64	Professional		$53.01	$68.52	$127.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $776.56 / $776.56 / $776.56	Facility		$776.56	$776.56	$776.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,114.04 / $1,114.04 / $1,114.04	Professional		$1,114.04	$1,114.04	$1,114.04