Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $81.28	Professional		$38.90	$52.48	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $186.21	Facility		$77.62	$93.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $75.86	Professional		$70.79	$70.79	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $56.23 / $56.23	Facility		$12.02	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $107.15	Professional		$41.69	$41.69	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $60.26	Professional		$43.65	$46.77	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $81.28 / $138.04	Facility		$38.90	$81.28	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $91.20 / $95.50	Professional		$0.60	$91.20	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $74.13	Facility		$28.18	$41.69	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $66.07	Professional		$34.67	$46.77	$66.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $676.08	Professional		$467.74	$467.74	$676.08