Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $83.18	Professional		$39.81	$52.48	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $186.21	Facility		$77.62	$93.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $77.62	Professional		$70.79	$72.44	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $61.66	Professional		$43.65	$46.77	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $83.18 / $138.04	Facility		$38.90	$83.18	$138.04
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 $28.18 / $41.69 / $75.86	Facility		$28.18	$41.69	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $66.07	Professional		$34.67	$46.77	$66.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $691.83	Professional		$478.63	$691.83	$691.83