Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $57.55 / $126.27	Facility		$57.55	$57.55	$126.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $57.55 / $57.55	Professional		$19.97	$57.55	$57.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $65.73 / $65.73	Professional		$65.73	$65.73	$65.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $87.42 / $97.50	Facility		$52.70	$87.42	$97.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $49.30 / $52.58	Professional		$45.76	$49.30	$52.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $39.47 / $48.77	Facility		$35.10	$39.47	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $76.13	Professional		$33.56	$39.47	$76.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $57.55 / $75.28	Facility		$18.00	$57.55	$75.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $48.78	Professional		$42.00	$42.00	$48.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $78.90 / $121.30	Professional		$78.90	$78.90	$121.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $32.50 / $53.00	Professional		$21.86	$32.50	$53.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $312.22 / $312.22	Facility		$102.70	$312.22	$312.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $327.33 / $327.33 / $492.98	Professional		$327.33	$327.33	$492.98