Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $134.29 / $789.28	Facility		$49.06	$134.29	$789.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $61.82 / $204.46	Professional		$40.65	$61.82	$204.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $59.35	Professional		$59.35	$59.35	$59.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $149.86 / $179.84	Facility		$95.04	$149.86	$179.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $50.33 / $192.85	Professional		$41.20	$50.33	$192.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $163.92	Facility		$40.65	$40.65	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.20	Professional		$40.65	$40.65	$54.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $74.22 / $163.92	Facility		$42.16	$74.22	$163.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $61.92 / $169.83	Professional		$51.61	$61.92	$169.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $65.04 / $77.84	Professional		$40.21	$65.04	$77.84
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $53.66	Professional		$40.65	$40.65	$53.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $192.85 / $192.85	Facility		$163.92	$192.85	$192.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,627.92 / $1,627.92 / $1,627.92	Professional		$1,627.92	$1,627.92	$1,627.92