Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $120.27 / $148.85	Facility		$94.31	$120.27	$148.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $88.09 / $125.51	Professional		$62.96	$88.09	$125.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $76.47 / $120.13	Professional		$68.06	$76.47	$120.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $88.09 / $134.96	Professional		$68.06	$88.09	$134.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $94.54 / $182.25	Professional		$46.00	$94.54	$182.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $91.93 / $138.60	Facility		$59.35	$91.93	$138.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $105.00 / $105.00	Professional		$40.00	$105.00	$105.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $91.04 / $146.69	Professional		$57.94	$91.04	$146.69
United Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $92.52 / $203.00	Professional		$68.75	$92.52	$203.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $409.36 / $409.36 / $409.36	Facility		$409.36	$409.36	$409.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $519.26 / $674.18 / $767.55	Professional		$519.26	$674.18	$767.55