Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $96.33 / $166.19	Facility		$96.33	$96.33	$166.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $96.33 / $96.33	Professional		$46.97	$96.33	$96.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $82.51 / $82.51	Professional		$82.51	$82.51	$82.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $163.19 / $200.97	Facility		$100.24	$163.19	$200.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $82.51 / $82.51	Professional		$62.71	$82.51	$82.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $68.45 / $68.45	Facility		$68.05	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $122.63	Professional		$49.98	$68.45	$122.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $96.33 / $125.23	Facility		$34.09	$96.33	$125.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $77.00	Professional		$62.00	$62.00	$77.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $156.40 / $240.50	Professional		$156.40	$156.40	$240.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $54.89 / $79.59	Professional		$41.88	$54.89	$79.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $670.32 / $670.32	Facility		$195.50	$670.32	$670.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $901.76 / $901.76 / $977.48	Professional		$901.76	$901.76	$977.48