Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $377.89 / $623.47	Facility		$116.59	$377.89	$623.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $110.24 / $292.02	Professional		$57.89	$110.24	$292.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $60.22 / $184.10	Professional		$60.22	$60.22	$184.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $161.77 / $271.08	Professional		$97.90	$161.77	$271.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $138.25 / $233.74	Professional		$76.84	$138.25	$233.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $126.78 / $210.27	Facility		$57.89	$126.78	$210.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $192.75 / $192.75	Professional		$192.75	$192.75	$192.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $373.78 / $373.78 / $1,656.82	Facility		$373.78	$373.78	$1,656.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $91.57 / $177.56	Professional		$58.95	$91.57	$177.56
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $116.44 / $261.29	Professional		$91.20	$116.44	$261.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $396.36 / $396.36	Facility		$55.00	$396.36	$396.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $954.08 / $968.48	Professional		$499.00	$954.08	$968.48