Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.67 / $85.67 / $147.78	Facility		$85.67	$85.67	$147.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $85.67 / $88.24	Professional		$46.46	$85.67	$88.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $83.16 / $88.05	Professional		$68.48	$83.16	$88.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $94.12 / $178.72	Facility		$78.43	$94.12	$178.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $73.37 / $73.37	Professional		$55.76	$73.37	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $72.18 / $72.18	Facility		$60.52	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $113.25	Professional		$52.69	$72.18	$113.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $85.67 / $111.37	Facility		$31.51	$85.67	$111.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $69.00	Professional		$55.00	$55.00	$69.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $134.80 / $207.30	Professional		$134.80	$134.80	$207.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $48.81 / $76.56	Professional		$37.50	$48.81	$76.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $619.59 / $619.59	Facility		$178.46	$619.59	$619.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,070.91 / $1,070.91 / $1,070.91	Professional		$1,070.91	$1,070.91	$1,070.91