Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $66.73 / $115.11	Facility		$66.73	$66.73	$115.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $66.73 / $66.73	Professional		$32.54	$66.73	$66.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Professional		$68.59	$68.59	$68.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $113.05 / $139.22	Facility		$69.43	$113.05	$139.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $57.16 / $60.97	Professional		$51.44	$57.16	$60.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $103.13	Professional		$39.81	$54.54	$103.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $66.73 / $86.75	Facility		$24.54	$66.73	$86.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $51.81	Professional		$43.00	$43.00	$51.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $98.30 / $151.19	Professional		$98.30	$98.30	$151.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $38.02 / $57.68	Professional		$29.21	$38.02	$57.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $133.40 / $482.65 / $482.65	Facility		$133.40	$482.65	$482.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $580.77 / $580.77 / $614.63	Professional		$580.77	$580.77	$614.63