Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $660.69	Facility		$169.82	$389.05	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $263.03	Professional		$131.83	$162.18	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $812.83	Facility		$446.68	$812.83	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $229.09 / $363.08	Professional		$89.13	$229.09	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $524.81	Facility		$134.90	$316.23	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $295.12	Professional		$91.20	$147.91	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $331.13	Facility		$158.49	$194.98	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Professional		$199.53	$199.53	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $331.13	Facility		$162.18	$257.04	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $295.12	Professional		$83.18	$134.90	$295.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,479.11	Professional		$1,000.00	$1,000.00	$1,479.11