Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $156.38 / $156.38	Facility		$92.87	$156.38	$156.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $92.87 / $135.36	Professional		$51.21	$92.87	$135.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $83.45 / $133.99	Professional		$69.04	$83.45	$133.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $143.63 / $193.75	Facility		$119.70	$143.63	$193.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $86.30 / $94.93	Professional		$80.09	$86.30	$94.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $90.58	Professional		$62.03	$84.97	$90.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $92.87 / $114.79	Facility		$49.72	$92.87	$114.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $114.79 / $114.79	Professional		$114.79	$114.79	$114.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $104.31 / $143.80	Professional		$81.02	$104.31	$143.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $69.62 / $103.31	Professional		$43.42	$69.62	$103.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $370.47 / $370.47	Facility		$129.63	$370.47	$370.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $531.63 / $566.92 / $566.92	Professional		$531.63	$566.92	$566.92