Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $173.33 / $21,734.77	Facility		$80.25	$173.33	$21,734.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.98 / $105.97	Professional		$75.03	$79.98	$105.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $135.83 / $182.41	Facility		$77.62	$135.83	$182.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.38 / $106.48	Professional		$77.62	$85.38	$106.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $105.97	Facility		$70.78	$75.02	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $124.67	Professional		$75.02	$75.02	$124.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $80.25 / $137.13	Facility		$61.00	$80.25	$137.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $98.98 / $166.20	Professional		$64.78	$98.98	$166.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $123.29 / $159.90	Professional		$120.04	$123.29	$159.90
United Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $92.34 / $124.89	Facility		$92.34	$92.34	$124.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $93.79	Professional		$75.03	$79.53	$93.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $133.72 / $498.40	Facility		$117.52	$133.72	$498.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,766.52 / $3,766.52 / $3,766.52	Professional		$3,766.52	$3,766.52	$3,766.52