Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $100.65 / $147.29	Facility		$67.53	$100.65	$147.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $99.21 / $99.21	Professional		$36.50	$99.21	$99.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $84.98 / $118.58	Professional		$71.39	$84.98	$118.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.23 / $168.07 / $206.98	Facility		$103.23	$168.07	$206.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $84.98 / $90.65	Professional		$76.48	$84.98	$90.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.80 / $70.80	Facility		$70.09	$70.80	$70.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $56.08 / $131.25	Professional		$51.68	$56.08	$131.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $99.21 / $128.97	Facility		$36.50	$99.21	$128.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $80.00	Professional		$64.00	$64.00	$80.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $214.00	Professional		$139.19	$139.19	$214.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $56.53 / $85.15	Professional		$43.43	$56.53	$85.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $188.81 / $636.98 / $636.98	Facility		$188.81	$636.98	$636.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $736.54 / $736.54 / $869.70	Professional		$736.54	$736.54	$869.70