Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $99.21 / $302.39	Facility		$61.02	$99.21	$302.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $98.08 / $104.59	Professional		$37.32	$98.08	$104.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $80.11 / $80.11	Professional		$80.11	$80.11	$80.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.23 / $246.76 / $246.76	Facility		$203.23	$246.76	$246.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $103.82 / $200.68	Professional		$72.16	$103.82	$200.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $122.04 / $302.47	Facility		$78.73	$122.04	$302.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $73.05 / $165.72	Professional		$15.52	$73.05	$165.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $92.29 / $165.22	Facility		$84.75	$92.29	$165.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $84.75 / $92.57	Professional		$81.34	$84.75	$92.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $115.36 / $121.70	Professional		$115.36	$115.36	$121.70
United Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $94.19 / $170.22	Facility		$87.40	$94.19	$170.22
United Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $64.09 / $118.82	Professional		$41.91	$64.09	$118.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $547.96 / $547.96	Facility		$220.02	$547.96	$547.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $638.40 / $638.40 / $865.20	Professional		$638.40	$638.40	$865.20