Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $86.35 / $148.94	Facility		$86.35	$86.35	$148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $86.35 / $86.35	Professional		$42.10	$86.35	$86.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $88.75 / $88.75	Professional		$88.75	$88.75	$88.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $94.87 / $180.15	Facility		$79.06	$94.87	$180.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $73.95 / $78.89	Professional		$66.56	$73.95	$78.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $75.00	Facility		$70.48	$70.48	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $70.48 / $113.63	Professional		$51.45	$70.48	$113.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $86.35 / $112.26	Facility		$28.22	$86.35	$112.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $72.00	Professional		$57.00	$57.00	$72.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $176.60	Professional		$114.90	$114.90	$176.60
United Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $48.76 / $69.45	Professional		$36.18	$48.76	$69.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $456.72 / $456.72	Facility		$154.08	$456.72	$456.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $717.90 / $717.90	Professional		$493.67	$717.90	$717.90