Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $210.05 / $654.88	Facility		$113.75	$210.05	$654.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $129.59 / $262.38	Professional		$97.13	$129.59	$262.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $129.31 / $129.31	Professional		$129.31	$129.31	$129.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $206.84 / $339.81	Professional		$127.54	$206.84	$339.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $606.10	Facility		$107.15	$107.15	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $178.25 / $307.43	Professional		$125.78	$178.25	$307.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $171.36 / $249.62	Facility		$97.13	$171.36	$249.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $217.16 / $337.50 / $402.95	Facility	50	$217.16	$337.50	$402.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $167.00 / $171.36	Professional		$167.00	$167.00	$171.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $171.03 / $228.38	Professional		$140.84	$171.03	$228.38
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $177.44 / $344.99	Professional		$118.17	$177.44	$344.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $485.69 / $485.69	Facility		$55.00	$485.69	$485.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $943.68 / $1,078.13	Professional		$836.00	$943.68	$1,078.13