Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $83.97 / $83.97	Facility		$59.05	$83.97	$83.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $83.97 / $125.00	Professional		$49.75	$83.97	$125.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $71.93 / $96.00	Professional		$60.42	$71.93	$96.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $93.93 / $175.18	Facility		$78.27	$93.93	$175.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $71.93 / $76.72	Professional		$66.77	$71.93	$76.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $122.63	Professional		$44.68	$61.21	$122.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $83.97 / $112.00	Facility		$70.23	$83.97	$112.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $103.57 / $160.84	Professional		$93.65	$103.57	$160.84
United Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $47.84 / $75.06	Professional		$37.53	$47.84	$75.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $152.12 / $474.60 / $474.60	Facility		$152.12	$474.60	$474.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $719.25 / $719.25	Professional		$521.73	$719.25	$719.25