Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $138.21 / $178.95	Facility		$85.28	$138.21	$178.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $103.73 / $155.60	Professional		$55.32	$103.73	$155.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $88.85 / $106.61	Professional		$46.00	$88.85	$106.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.93 / $175.72 / $216.41	Facility		$107.93	$175.72	$216.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $88.85 / $94.77	Professional		$82.47	$88.85	$94.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.28	Facility		$68.22	$68.22	$73.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $135.00	Professional		$49.80	$68.22	$135.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $103.57 / $134.85	Facility		$32.44	$103.57	$134.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $78.93	Professional		$67.00	$67.00	$78.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $122.04 / $202.72	Professional		$115.68	$122.04	$202.72
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $58.57 / $85.70	Professional		$41.87	$58.57	$85.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $185.09 / $637.78 / $637.78	Facility		$185.09	$637.78	$637.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $855.54 / $855.54 / $855.54	Professional		$855.54	$855.54	$855.54