Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $60.78	Facility		$49.52	$49.52	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $49.52 / $49.52	Professional		$35.81	$49.52	$49.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $36.76	Professional		$36.76	$36.76	$36.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $75.22 / $103.31	Facility		$51.52	$75.22	$103.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $42.42 / $45.25	Professional		$38.61	$42.42	$45.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $36.65	Facility		$33.97	$33.97	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $65.63	Professional		$28.88	$33.97	$65.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $49.52 / $64.77	Facility		$15.48	$49.52	$64.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $37.68	Professional		$36.00	$36.00	$37.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $67.90 / $104.40	Professional		$67.90	$67.90	$104.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $26.85 / $40.47	Professional		$18.80	$26.85	$40.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $88.37 / $268.66 / $268.66	Facility		$88.37	$268.66	$268.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $281.67 / $424.20	Professional		$281.67	$281.67	$424.20