Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $190.55 / $676.08	Facility		$75.86	$190.55	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $229.09	Professional		$57.54	$91.20	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $158.49	Professional		$61.66	$83.18	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $72.44	Facility		$70.79	$70.79	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $204.17	Professional		$70.79	$123.03	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $173.78	Professional		$69.18	$102.33	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $181.97	Professional		$134.90	$134.90	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $147.91	Facility		$60.26	$91.20	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $177.83	Professional		$83.18	$125.89	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $724.44 / $1,949.84	Facility		$199.53	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $144.54	Professional		$54.95	$79.43	$144.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Professional		$602.56	$602.56	$707.95