Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $122.42	Facility		$122.42	$122.42	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $122.42	Professional		$99.11	$122.42	$122.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $120.96 / $195.56	Professional		$56.00	$120.96	$195.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $230.52 / $230.52	Professional		$49.76	$230.52	$230.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $122.42 / $171.39	Facility		$121.56	$122.42	$171.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $194.40 / $194.40	Professional		$194.40	$194.40	$194.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00