Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $77.89 / $163.15	Facility		$77.89	$77.89	$163.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $77.89 / $77.89	Professional		$34.46	$77.89	$77.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $68.45 / $68.45	Professional		$50.00	$68.45	$68.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $131.94 / $162.50	Facility		$98.40	$131.94	$162.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $68.45 / $75.30	Professional		$63.54	$68.45	$75.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $84.75	Professional		$49.06	$67.20	$84.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $77.89 / $112.90	Facility		$33.46	$77.89	$112.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $75.78 / $75.78	Professional		$75.78	$75.78	$75.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $78.40 / $201.10	Professional		$78.40	$78.40	$201.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $53.41 / $79.19	Professional		$39.94	$53.41	$79.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $324.51 / $324.51	Facility		$115.71	$324.51	$324.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $539.41 / $539.41 / $539.41	Professional		$539.41	$539.41	$539.41