Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.35 / $98.35 / $169.68	Facility		$98.35	$98.35	$169.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $98.35 / $98.35	Professional		$55.50	$98.35	$98.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $101.09 / $101.09	Professional		$101.09	$101.09	$101.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $108.08 / $205.18	Facility		$90.06	$108.08	$205.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $84.24 / $84.24	Professional		$64.02	$84.24	$84.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $75.80 / $75.80	Facility		$69.48	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $151.13	Professional		$55.33	$75.80	$151.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $98.35 / $127.86	Facility		$34.70	$98.35	$127.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $76.38	Professional		$63.00	$63.00	$76.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $129.10 / $198.80	Professional		$129.10	$129.10	$198.80
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $55.89 / $81.56	Professional		$42.76	$55.89	$81.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $180.66 / $682.34 / $682.34	Facility		$180.66	$682.34	$682.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $705.15 / $808.05	Professional		$705.15	$705.15	$808.05