Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $126.67 / $177.73	Facility		$104.25	$126.67	$177.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $104.25 / $294.52	Professional		$91.04	$104.25	$294.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $129.76 / $173.79	Professional		$80.98	$129.76	$173.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $190.80 / $280.37	Professional		$130.82	$190.80	$280.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $122.02 / $365.00	Facility		$122.02	$122.02	$365.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $155.34 / $264.70	Professional		$97.23	$155.34	$264.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $154.00 / $274.02	Facility		$104.25	$154.00	$274.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $140.06	Professional		$129.00	$129.00	$140.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $159.47 / $196.50	Professional		$141.72	$159.47	$196.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $145.84 / $287.86	Professional		$93.63	$145.84	$287.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $246.04 / $269.95 / $547.05	Facility		$246.04	$269.95	$547.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $664.64 / $664.64 / $902.48	Professional		$664.64	$664.64	$902.48