Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $97.72	Professional		$40.74	$54.95	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $223.87	Facility		$104.71	$165.96	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $95.50	Professional		$85.11	$87.10	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $69.18	Facility		$50.12	$60.26	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $81.28	Professional		$44.67	$44.67	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $61.66	Professional		$40.74	$44.67	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $97.72 / $158.49	Facility		$41.69	$97.72	$158.49
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 $30.20 / $44.67 / $89.13	Facility		$30.20	$44.67	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $75.86	Professional		$37.15	$53.70	$75.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99