Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $102.48 / $176.78	Facility		$102.48	$102.48	$176.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $102.48 / $102.48	Professional		$49.97	$102.48	$102.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $105.34 / $105.34	Professional		$105.34	$105.34	$105.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $112.59 / $213.80	Facility		$93.82	$112.59	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $87.78 / $96.56	Professional		$81.48	$87.78	$96.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $169.69	Professional		$55.27	$55.27	$169.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $102.48 / $133.22	Facility		$33.92	$102.48	$133.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $85.64 / $85.64	Professional		$85.64	$85.64	$85.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $140.40 / $215.90	Professional		$140.40	$140.40	$215.90
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $58.39 / $91.60	Professional		$44.86	$58.39	$91.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $182.88 / $555.94 / $555.94	Facility		$182.88	$555.94	$555.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $582.86 / $877.80 / $877.80	Professional		$582.86	$877.80	$877.80