Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $128.75 / $16,090.93	Facility		$65.98	$128.75	$16,090.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $78.37 / $94.95	Professional		$70.14	$78.37	$94.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Professional		$78.47	$78.47	$78.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $142.51 / $159.90	Facility		$81.43	$142.51	$159.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $81.43 / $89.57	Professional		$61.40	$81.43	$89.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $78.37 / $92.52	Facility		$73.93	$78.37	$92.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $100.38	Professional		$78.37	$78.37	$100.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $70.14 / $107.21	Facility		$49.73	$70.14	$107.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $95.86 / $112.00	Professional		$49.73	$95.86	$112.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $128.87 / $150.08	Professional		$125.10	$128.87	$150.08
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $83.07 / $94.04	Professional		$78.37	$83.07	$94.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $391.85 / $391.85	Facility		$104.24	$391.85	$391.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $933.66 / $933.66	Professional		$933.66	$933.66	$933.66