Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $65.28 / $98.53	Facility		$23.27	$65.28	$98.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $57.83 / $140.94	Professional		$30.35	$57.83	$140.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $49.54 / $67.00	Professional		$39.63	$49.54	$67.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $97.97 / $120.65	Facility		$60.17	$97.97	$120.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $49.54 / $52.84	Professional		$44.58	$49.54	$52.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $45.70 / $45.70	Facility		$40.85	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $40.85 / $93.38	Professional		$33.36	$40.85	$93.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $57.83 / $75.18	Facility		$21.28	$57.83	$75.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $42.45	Professional		$37.00	$37.00	$42.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $318.79 / $318.79 / $318.79	Facility		$318.79	$318.79	$318.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $84.21 / $126.49	Professional		$64.50	$84.21	$126.49
United Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $32.95 / $49.64	Professional		$25.32	$32.95	$49.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $418.29 / $418.29	Facility		$132.09	$418.29	$418.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $518.99 / $518.99 / $660.45	Professional		$518.99	$518.99	$660.45