Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $208.68 / $298.42	Facility		$164.96	$208.68	$298.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $164.96 / $454.71	Professional		$141.78	$164.96	$454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $222.19 / $293.38	Professional		$126.96	$222.19	$293.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.52 / $313.05 / $455.55	Professional		$217.52	$313.05	$455.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.28 / $191.28 / $599.47	Facility		$191.28	$191.28	$599.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $251.06 / $449.64	Professional		$161.66	$251.06	$449.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $295.00 / $525.13	Facility		$164.96	$295.00	$525.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $209.00 / $230.30	Professional		$209.00	$209.00	$230.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.17 / $249.28 / $316.50	Professional		$226.17	$249.28	$316.50
United Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $240.43 / $454.49	Professional		$156.59	$240.43	$454.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $390.76 / $441.76 / $843.70	Facility		$390.76	$441.76	$843.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,519.00 / $2,519.00 / $2,519.00	Professional		$2,519.00	$2,519.00	$2,519.00