Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $407.38 / $691.83	Facility		$125.89	$407.38	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $363.08	Professional		$100.00	$125.89	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $549.54	Facility		$245.47	$398.11	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $457.09	Professional		$109.65	$144.54	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $380.19	Facility		$97.72	$229.09	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $275.42	Professional		$67.61	$131.83	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $331.13	Facility		$114.82	$186.21	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $218.78	Facility		$107.15	$169.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $288.40	Professional		$87.10	$107.15	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48