Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $146.79 / $400.79	Facility		$89.65	$146.79	$400.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $118.37 / $195.87	Professional		$99.84	$118.37	$195.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.62 / $297.56 / $390.15	Facility		$241.62	$297.56	$390.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $142.63 / $306.64	Professional		$121.24	$142.63	$306.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $198.47 / $374.53	Facility		$108.38	$198.47	$374.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $105.85 / $210.71	Professional		$66.22	$105.85	$210.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $142.63 / $236.77	Facility		$114.10	$142.63	$236.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $92.71 / $142.63	Professional		$92.71	$92.71	$142.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $720.74 / $720.74 / $720.74	Facility		$720.74	$720.74	$720.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $92.71 / $150.47	Professional		$92.71	$92.71	$150.47
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $85.58 / $146.91	Professional		$71.31	$85.58	$146.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $710.30 / $1,069.73	Professional		$710.30	$710.30	$1,069.73