Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $58.09 / $71.29	Facility		$58.09	$58.09	$71.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $58.09 / $58.09	Professional		$19.97	$58.09	$58.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $66.33 / $66.33	Professional		$30.18	$66.33	$66.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.18 / $88.22 / $98.41	Facility		$53.18	$88.22	$98.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $49.75 / $53.06	Professional		$46.18	$49.75	$53.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $39.86 / $49.23	Facility		$36.40	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $76.88	Professional		$33.88	$39.86	$76.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $58.09 / $75.97	Facility		$18.16	$58.09	$75.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $49.23	Professional		$43.00	$43.00	$49.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $79.59 / $122.40	Professional		$79.59	$79.59	$122.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $32.79 / $54.06	Professional		$22.06	$32.79	$54.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $315.07 / $315.07	Facility		$103.65	$315.07	$315.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $330.32 / $497.48	Professional		$330.32	$330.32	$497.48