Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $85.22 / $160.60	Facility		$50.96	$85.22	$160.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $139.33 / $205.10	Professional		$117.31	$139.33	$205.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $160.00 / $324.36	Professional		$114.67	$160.00	$324.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.10 / $177.46 / $296.95	Facility		$117.10	$177.46	$296.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $218.30 / $395.48	Professional		$132.38	$218.30	$395.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.33 / $182.75 / $321.14	Facility		$139.33	$182.75	$321.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $182.75 / $569.70	Professional		$61.00	$182.75	$569.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $575.86 / $634.65	Facility		$569.26	$575.86	$634.65
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 $133.40 / $206.15 / $403.38	Professional		$133.40	$206.15	$403.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $843.41 / $843.41	Facility		$321.66	$843.41	$843.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,024.30 / $1,326.30 / $1,326.30	Professional		$1,024.30	$1,326.30	$1,326.30