Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $70.90 / $122.31	Facility		$70.90	$70.90	$122.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $70.90 / $70.90	Professional		$34.57	$70.90	$70.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $72.88 / $72.88	Professional		$72.88	$72.88	$72.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $120.10 / $147.91	Facility		$73.77	$120.10	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $60.73 / $60.73	Professional		$46.15	$60.73	$60.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.08 / $54.11 / $54.11	Facility		$50.08	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $88.50	Professional		$39.50	$54.11	$88.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $70.90 / $92.17	Facility		$24.56	$70.90	$92.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $55.05	Professional		$46.00	$46.00	$55.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $110.10 / $169.40	Professional		$110.10	$110.10	$169.40
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $40.04 / $58.21	Professional		$30.83	$40.04	$58.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $482.89 / $482.89	Facility		$137.66	$482.89	$482.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $511.56 / $511.56 / $688.35	Professional		$511.56	$511.56	$688.35