Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $83.82 / $144.60	Facility		$83.82	$83.82	$144.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $83.82 / $83.82	Professional		$39.79	$83.82	$83.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Professional		$96.00	$96.00	$96.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $141.99 / $174.87	Facility		$87.20	$141.99	$174.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $71.80 / $71.80	Professional		$54.57	$71.80	$71.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $114.38	Professional		$45.85	$62.81	$114.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $83.82 / $110.35	Facility		$30.83	$83.82	$110.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $68.00	Professional		$54.00	$54.00	$68.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $129.10 / $198.50	Professional		$129.10	$129.10	$198.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $47.76 / $72.45	Professional		$36.69	$47.76	$72.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $161.33 / $606.29 / $606.29	Facility		$161.33	$606.29	$606.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $723.56 / $723.56 / $806.63	Professional		$723.56	$723.56	$806.63