Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $147.91 / $398.11	Facility		$89.13	$147.91	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $263.03	Professional		$95.50	$120.23	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $204.17	Professional		$70.79	$70.79	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $389.05	Facility		$239.88	$323.59	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $331.13	Professional		$120.23	$141.25	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $223.87 / $371.54	Facility		$97.72	$223.87	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $218.78	Professional		$66.07	$100.00	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $208.93	Facility		$102.33	$125.89	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $151.36	Professional		$141.25	$141.25	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $169.82 / $173.78	Facility		$85.11	$169.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $158.49	Professional		$60.26	$85.11	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,071.52	Professional		$707.95	$707.95	$1,071.52