Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $199.53	Facility		$85.11	$141.25	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $199.53	Professional		$70.79	$97.72	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $131.83	Professional		$109.65	$128.82	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $346.74	Facility		$141.25	$169.82	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $141.25	Professional		$128.82	$131.83	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $114.82	Facility		$75.86	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $141.25	Professional		$85.11	$85.11	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $104.71	Professional		$74.13	$79.43	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $239.88	Facility		$70.79	$151.36	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $70.79 / $138.04	Facility		$47.86	$70.79	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $120.23	Professional		$58.88	$83.18	$120.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,230.27	Professional		$851.14	$851.14	$1,230.27