Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $87.38 / $150.75	Facility		$87.38	$87.38	$150.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $87.38 / $87.38	Professional		$43.41	$87.38	$87.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $89.81 / $89.81	Professional		$89.81	$89.81	$89.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $96.03 / $182.30	Facility		$80.02	$96.03	$182.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $74.84 / $74.84	Professional		$56.88	$74.84	$74.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $62.72 / $62.72	Facility		$61.73	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $112.88	Professional		$45.79	$62.72	$112.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $87.38 / $113.59	Facility		$29.71	$87.38	$113.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $67.86	Professional		$56.00	$56.00	$67.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $125.60 / $193.10	Professional		$125.60	$125.60	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $49.34 / $72.18	Professional		$37.99	$49.34	$72.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $157.22 / $584.29 / $584.29	Facility		$157.22	$584.29	$584.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.57 / $812.57 / $812.57	Professional		$812.57	$812.57	$812.57