Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $446.68 / $741.31	Facility		$190.55	$446.68	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $436.52	Professional		$60.26	$134.90	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $199.53	Professional		$38.90	$85.11	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $70.79	Professional		$60.26	$63.10	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $323.59	Facility		$97.72	$194.98	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $263.03	Professional		$72.44	$114.82	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $120.23 / $204.17	Facility		$58.88	$120.23	$204.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,905.46	Facility		$1,348.96	$1,348.96	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $151.36 / $194.98	Professional		$48.98	$151.36	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $213.80	Professional		$63.10	$104.71	$213.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Professional		$812.83	$812.83	$1,071.52