Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $92.96 / $133.85	Facility		$69.70	$92.96	$133.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $69.70 / $111.76	Professional		$62.28	$69.70	$111.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $52.88 / $92.51	Professional		$52.88	$52.88	$92.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $136.46 / $196.86	Professional		$96.76	$136.46	$196.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $80.42 / $267.75	Facility		$80.42	$80.42	$267.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $112.57 / $195.49	Professional		$71.77	$112.57	$195.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $118.00 / $210.01	Facility		$69.70	$118.00	$210.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $102.92	Professional		$96.00	$96.00	$102.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $105.17 / $142.69	Professional		$92.55	$105.17	$142.69
United Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $104.34 / $191.17	Professional		$69.17	$104.34	$191.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $250.33 / $370.00	Facility		$163.44	$250.33	$370.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,410.00 / $1,410.00 / $1,410.00	Professional		$1,410.00	$1,410.00	$1,410.00