Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $59.90 / $103.33	Facility		$59.90	$59.90	$103.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $59.90 / $59.90	Professional		$31.34	$59.90	$59.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $61.56	Professional		$61.56	$61.56	$61.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $101.48 / $124.97	Facility		$62.32	$101.48	$124.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $51.30 / $54.72	Professional		$46.17	$51.30	$54.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $118.13	Professional		$26.81	$36.72	$118.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $59.90 / $77.87	Facility		$21.72	$59.90	$77.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $46.51	Professional		$38.00	$38.00	$46.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $88.50 / $136.10	Professional		$88.50	$88.50	$136.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $33.82 / $50.69	Professional		$26.04	$33.82	$50.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $365.94 / $365.94	Facility		$113.40	$365.94	$365.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $398.48 / $553.28	Professional		$398.48	$398.48	$553.28