Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $407.38 / $407.38	Facility		$77.62	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $61.66 / $77.62	Professional		$28.84	$61.66	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $91.20	Professional		$45.71	$63.10	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $177.83	Facility		$83.18	$131.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $72.44	Professional		$66.07	$67.61	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $102.33	Professional		$43.65	$43.65	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.67 / $58.88	Professional		$41.69	$44.67	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $131.83	Facility		$39.81	$77.62	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $70.79	Facility		$33.11	$63.10	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $67.61	Professional		$33.88	$44.67	$67.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $660.69	Professional		$446.68	$446.68	$660.69