Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $151.38 / $240.34	Facility		$108.45	$151.38	$240.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $107.68 / $144.60	Professional		$82.36	$107.68	$144.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $101.39 / $161.55	Professional		$90.70	$101.39	$161.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $118.09 / $224.07	Professional		$90.70	$118.09	$224.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.15 / $187.15 / $187.15	Facility		$187.15	$187.15	$187.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $130.00 / $246.88	Professional		$75.00	$130.00	$246.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $127.79 / $173.52	Facility		$93.69	$127.79	$173.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $138.00 / $138.00	Professional		$86.00	$138.00	$138.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $120.38 / $194.41	Professional		$77.25	$120.38	$194.41
United Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $130.38 / $275.61	Professional		$96.56	$130.38	$275.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $546.01 / $546.01 / $546.01	Facility		$546.01	$546.01	$546.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $689.72 / $904.43 / $1,023.23	Professional		$689.72	$904.43	$1,023.23