Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $58.84 / $99.68	Facility		$57.78	$58.84	$99.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $57.78 / $57.78	Professional		$30.66	$57.78	$57.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $63.49 / $120.54	Facility		$52.91	$63.49	$120.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $49.49 / $52.79	Professional		$44.54	$49.49	$52.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $46.70 / $46.70	Facility		$40.82	$46.70	$46.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $46.70 / $91.50	Professional		$25.46	$46.70	$91.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $57.78 / $75.11	Facility		$21.06	$57.78	$75.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $47.00	Professional		$37.00	$37.00	$47.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $90.10 / $138.60	Professional		$90.10	$90.10	$138.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $32.92 / $51.65	Professional		$25.13	$32.92	$51.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $414.11 / $414.11	Facility		$112.88	$414.11	$414.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $435.96 / $435.96 / $563.17	Professional		$435.96	$435.96	$563.17