Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $89.70 / $367.75	Facility		$71.08	$89.70	$367.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $81.50 / $93.72	Professional		$39.86	$81.50	$93.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $66.12 / $111.63	Professional		$23.32	$66.12	$111.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $138.07 / $170.04	Facility		$111.32	$138.07	$170.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $74.02 / $78.95	Professional		$68.70	$74.02	$78.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $75.59	Facility		$67.14	$67.14	$75.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $78.75	Professional		$49.01	$67.14	$78.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $81.50 / $127.74	Facility		$31.74	$81.50	$127.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $96.54 / $129.57	Professional		$77.03	$96.54	$129.57
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $58.01 / $83.83	Professional		$40.64	$58.01	$83.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $340.47 / $340.47	Facility		$119.39	$340.47	$340.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $628.42 / $628.42 / $628.42	Professional		$628.42	$628.42	$628.42