Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $81.03 / $139.78	Facility		$77.45	$81.03	$139.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $81.03 / $125.00	Professional		$43.95	$81.03	$125.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $69.41 / $90.00	Professional		$55.52	$69.41	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.19 / $89.03 / $169.05	Facility		$74.19	$89.03	$169.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $69.41 / $74.03	Professional		$64.43	$69.41	$74.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $104.25	Professional		$42.34	$58.00	$104.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $81.03 / $108.84	Facility		$28.97	$81.03	$108.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $62.92	Professional		$52.00	$52.00	$62.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $141.19 / $217.20	Professional		$90.37	$141.19	$217.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $46.17 / $71.14	Professional		$35.22	$46.17	$71.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $489.49 / $489.49	Facility		$176.54	$489.49	$489.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $593.54 / $882.68	Professional		$593.54	$593.54	$882.68