Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.95 / $87.43	Professional		$58.78	$84.95	$87.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $40.50	Professional		$31.60	$31.60	$40.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $70.00 / $75.00	Professional		$49.76	$70.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $108.94 / $246.71	Professional		$108.93	$108.94	$246.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $84.95 / $114.68	Facility		$44.00	$84.95	$114.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $180.00 / $180.00	Professional		$78.76	$180.00	$180.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $200.40 / $230.50	Professional		$200.40	$200.40	$230.50
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $451.00 / $474.40	Professional		$451.00	$451.00	$474.40