Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $112.20	Professional		$64.57	$91.20	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $676.08	Professional		$309.03	$478.63	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $467.74	Professional		$28.84	$64.57	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $186.21	Facility		$69.18	$97.72	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $112.20	Facility		$83.18	$87.10	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $275.42 / $501.19	Professional		$67.61	$275.42	$501.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $851.14	Professional		$602.56	$851.14	$851.14