Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $524.81	Facility		$141.25	$302.00	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $309.03	Professional		$141.25	$151.36	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $190.55	Professional		$60.26	$102.33	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $426.58	Professional		$141.25	$229.09	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $302.00	Facility		$107.15	$223.87	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $218.78	Professional		$70.79	$120.23	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $154.88 / $234.42	Facility		$141.25	$154.88	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
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 $89.13 / $109.65 / $173.78	Professional		$89.13	$109.65	$173.78
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