Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $51.45 / $109.20	Facility		$35.84	$51.45	$109.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $119.43 / $225.66	Professional		$99.75	$119.43	$225.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $103.62 / $257.29	Professional		$91.48	$103.62	$257.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $140.24 / $294.36	Facility		$91.89	$140.24	$294.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $234.13 / $396.95	Professional		$132.16	$234.13	$396.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.32 / $227.99 / $285.75	Facility		$110.32	$227.99	$285.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $162.00 / $451.09	Professional		$49.00	$162.00	$451.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.77 / $493.28 / $1,913.75	Facility		$478.77	$493.28	$1,913.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $48.62 / $74.31	Professional		$20.72	$48.62	$74.31
United Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $224.95 / $348.67	Professional		$128.54	$224.95	$348.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $668.04 / $668.04	Facility		$255.33	$668.04	$668.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $1,053.68 / $1,053.68	Professional		$810.58	$1,053.68	$1,053.68