Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $403.88 / $403.88	Facility		$77.80	$403.88	$403.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $77.80 / $77.80	Professional		$27.60	$77.80	$77.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $88.85 / $88.85	Professional		$40.43	$88.85	$88.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.92 / $131.80 / $162.31	Facility		$80.92	$131.80	$162.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $66.64 / $71.08	Professional		$59.97	$66.64	$71.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $128.91	Professional		$43.41	$59.47	$128.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $77.80 / $101.14	Facility		$25.75	$77.80	$101.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $65.95	Professional		$59.00	$59.00	$65.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $106.60 / $163.90	Professional		$106.60	$106.60	$163.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $44.32 / $69.53	Professional		$33.83	$44.32	$69.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $422.04 / $422.04	Facility		$160.80	$422.04	$422.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $442.47 / $666.38	Professional		$442.47	$442.47	$666.38