Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $47.35 / $47.35	Facility		$47.35	$47.35	$47.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $47.35 / $47.35	Professional		$16.80	$47.35	$47.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $59.49	Professional		$54.08	$54.08	$59.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $52.03 / $98.79	Facility		$43.36	$52.03	$98.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $40.56 / $43.26	Professional		$37.65	$40.56	$43.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $36.21 / $62.63	Professional		$26.43	$36.21	$62.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $47.35 / $61.56	Facility		$15.68	$47.35	$61.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Professional		$37.95	$37.95	$37.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $64.90 / $99.80	Professional		$64.90	$64.90	$99.80
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $26.98 / $42.33	Professional		$20.23	$26.98	$42.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $256.88 / $256.88	Facility		$84.50	$256.88	$256.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $405.60 / $405.60	Professional		$269.32	$405.60	$405.60