Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $63.60 / $63.60	Facility		$63.60	$63.60	$63.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $63.60 / $63.60	Professional		$25.58	$63.60	$63.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $45.86 / $46.02	Professional		$45.19	$45.86	$46.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $92.50 / $132.68	Facility		$77.08	$92.50	$132.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.53 / $63.28	Professional		$53.40	$57.53	$63.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $67.13	Professional		$44.34	$52.17	$67.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $63.60 / $76.31	Facility		$18.91	$63.60	$76.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $73.91 / $73.91	Professional		$73.91	$73.91	$73.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $96.98 / $101.59	Professional		$62.10	$96.98	$101.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $46.69 / $66.52	Professional		$32.84	$46.69	$66.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $256.42 / $256.42	Facility		$91.58	$256.42	$256.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $391.82 / $391.82 / $391.82	Professional		$391.82	$391.82	$391.82