Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $46.84 / $95.05	Facility		$46.84	$46.84	$95.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $46.84 / $46.84	Professional		$26.75	$46.84	$46.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $56.63 / $56.63	Professional		$56.63	$56.63	$56.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $93.34 / $114.95	Facility		$57.30	$93.34	$114.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $47.19 / $47.19	Professional		$35.86	$47.19	$47.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $38.93	Facility		$34.77	$34.77	$38.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $31.14 / $65.25	Professional		$25.38	$31.14	$65.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $46.84 / $70.86	Facility		$16.17	$46.84	$70.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $45.00	Professional		$35.00	$35.00	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $77.90 / $119.80	Professional		$77.90	$77.90	$119.80
United Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $31.40 / $45.53	Professional		$24.12	$31.40	$45.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $317.87 / $317.87	Facility		$126.07	$317.87	$317.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $408.06 / $408.06 / $487.05	Professional		$408.06	$408.06	$487.05