Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $73.67 / $103.92	Facility		$49.25	$73.67	$103.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $58.00 / $82.46	Professional		$28.89	$58.00	$82.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $52.84 / $162.65	Professional		$34.86	$52.84	$162.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $67.00 / $104.00	Facility		$40.61	$67.00	$104.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $67.00 / $164.92	Professional		$60.05	$67.00	$164.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $70.01 / $101.19	Professional		$52.84	$70.01	$101.19
United Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $76.79 / $156.69	Professional		$58.85	$76.79	$156.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $184.32 / $184.32 / $184.32	Facility		$184.32	$184.32	$184.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $240.43 / $383.65 / $468.38	Professional		$240.43	$383.65	$468.38