Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $110.75 / $155.66	Facility		$16.38	$110.75	$155.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $42.29 / $46.71	Professional		$31.54	$42.29	$46.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $32.54	Professional		$32.54	$32.54	$32.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $98.92 / $121.82	Facility		$91.78	$98.92	$121.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $53.65 / $53.65	Professional		$48.28	$53.65	$53.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $40.36 / $49.86	Facility		$26.00	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $71.63	Professional		$34.31	$34.31	$71.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $46.71 / $90.40	Facility		$20.00	$46.71	$90.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $20.60 / $31.00	Professional		$14.00	$20.60	$31.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $37.46 / $58.09	Professional		$21.45	$37.46	$58.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $283.33 / $283.33	Facility		$119.89	$283.33	$283.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $322.29 / $322.29 / $413.10	Professional		$322.29	$322.29	$413.10