Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $6,898.25 / $9,747.44	Facility		$64.45	$6,898.25	$9,747.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $47.13 / $4,717.99	Professional		$40.29	$47.13	$4,717.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $54.72 / $54.72	Professional		$46.82	$54.72	$54.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $80.20 / $107.70	Facility		$64.16	$80.20	$107.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $75.00	Professional		$43.50	$43.50	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $40.29 / $63.75	Facility		$34.63	$40.29	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $75.00	Professional		$40.29	$40.29	$75.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $82.50 / $100.36	Facility		$41.91	$82.50	$100.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $75.00 / $100.36	Professional		$68.78	$75.00	$100.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $64.47 / $103.10	Professional		$62.01	$64.47	$103.10
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $50.36	Professional		$40.29	$42.71	$50.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $382.05 / $382.05	Facility		$105.64	$382.05	$382.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $229.91	Professional		$228.90	$228.90	$229.91