Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $104.71 / $131.83	Facility		$95.50	$104.71	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $398.11	Professional		$107.15	$131.83	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $316.23	Professional		$100.00	$147.91	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $275.42	Professional		$63.10	$112.20	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $346.74	Professional		$309.03	$309.03	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $316.23	Facility		$114.82	$169.82	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $154.88	Professional		$125.89	$131.83	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $295.12	Professional		$77.62	$131.83	$295.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,288.25	Professional		$1,047.13	$1,047.13	$1,288.25