Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.51 / $165.69 / $869.31	Facility		$117.51	$165.69	$869.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $141.46 / $379.49	Professional		$125.45	$141.46	$379.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.26 / $212.26 / $212.26	Professional		$212.26	$212.26	$212.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $104.98 / $104.98	Professional		$104.98	$104.98	$104.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.82 / $237.52 / $315.45	Facility		$172.82	$237.52	$315.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $194.38 / $387.56	Professional		$89.57	$194.38	$387.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $153.47 / $271.14	Facility		$112.00	$153.47	$271.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $154.00 / $570.51	Professional		$52.00	$154.00	$570.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $148.25 / $248.60	Professional		$48.39	$148.25	$248.60
United Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $186.60 / $365.06	Professional		$95.82	$186.60	$365.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $329.02 / $823.22 / $823.22	Facility		$329.02	$823.22	$823.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,029.11 / $1,029.11 / $1,288.43	Professional		$1,029.11	$1,029.11	$1,288.43