Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.50 / $96.50 / $166.47	Facility		$96.50	$96.50	$166.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $96.50 / $96.50	Professional		$47.00	$96.50	$96.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $65.29 / $99.19	Professional		$65.29	$65.29	$99.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.37 / $106.04 / $201.32	Facility		$88.37	$106.04	$201.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $82.66 / $82.66	Professional		$62.82	$82.66	$82.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $68.18	Facility		$62.81	$62.81	$68.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $127.13	Professional		$45.85	$62.81	$127.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $96.01 / $125.45	Facility		$28.17	$96.01	$125.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $74.94	Professional		$62.00	$62.00	$74.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $105.90 / $162.90	Professional		$105.90	$105.90	$162.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $52.32 / $77.63	Professional		$36.65	$52.32	$77.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $553.99 / $553.99	Facility		$172.21	$553.99	$553.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $610.79 / $610.79 / $662.10	Professional		$610.79	$610.79	$662.10