Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.62 / $329.00 / $498.23	Facility		$142.62	$329.00	$498.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $275.22	Professional		$142.62	$142.63	$275.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $178.29 / $264.81	Professional		$178.29	$178.29	$264.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.44 / $292.44 / $292.44	Facility		$292.44	$292.44	$292.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $228.21 / $351.78	Professional		$142.63	$228.21	$351.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $117.83 / $297.20	Facility		$108.38	$117.83	$297.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $121.61 / $224.62	Professional		$70.01	$121.61	$224.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $132.44 / $206.81	Facility		$132.44	$132.44	$206.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $132.44 / $142.63	Professional		$132.44	$132.44	$142.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.80 / $1,027.80 / $1,621.51	Facility		$1,027.80	$1,027.80	$1,621.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $150.47 / $273.14	Professional		$92.71	$150.47	$273.14
United Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $142.63 / $171.86	Professional		$95.27	$142.63	$171.86
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