Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $69.23 / $69.23	Facility		$69.23	$69.23	$69.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $69.23 / $101.17	Professional		$57.67	$69.23	$101.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $126.81 / $164.12	Professional		$97.05	$126.81	$164.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $81.97 / $81.97	Facility		$81.97	$81.97	$81.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $83.08	Professional		$64.28	$64.28	$83.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $69.23 / $108.19	Facility		$64.50	$69.23	$108.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $65.37 / $169.39	Professional		$60.88	$65.37	$169.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $104.78 / $116.76	Professional		$78.70	$104.78	$116.76
United Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $89.27 / $178.34	Professional		$66.26	$89.27	$178.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $134.33 / $368.27	Facility		$121.06	$134.33	$368.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $605.91 / $605.91	Professional		$605.91	$605.91	$605.91