Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $77.39 / $77.59	Facility		$28.12	$77.39	$77.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $27.42 / $60.68	Professional		$22.61	$27.42	$60.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $38.45 / $71.27	Professional		$23.46	$38.45	$71.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $87.50 / $123.65	Professional		$38.08	$87.50	$123.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $32.60	Professional		$24.70	$24.70	$32.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $27.78 / $47.11	Facility		$25.43	$27.78	$47.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $27.77 / $70.56	Professional		$24.39	$27.77	$70.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $45.50 / $80.80	Professional		$35.77	$45.50	$80.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $32.35 / $55.75	Professional		$25.88	$32.35	$55.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $125.54 / $125.54	Facility		$125.54	$125.54	$125.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $202.95 / $225.60	Professional		$161.03	$202.95	$225.60