Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $87.10	Professional		$47.86	$63.10	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $87.10	Professional		$38.90	$38.90	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $234.42	Facility		$95.50	$114.82	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $95.50	Professional		$87.10	$89.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $72.44	Facility		$52.48	$66.07	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $81.28	Professional		$47.86	$47.86	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $67.61	Professional		$46.77	$51.29	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $93.33 / $158.49	Facility		$44.67	$93.33	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $93.33	Facility		$41.69	$75.86	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $83.18	Professional		$45.71	$58.88	$83.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52