Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Facility		$131.83	$151.36	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $218.78	Professional		$100.00	$131.83	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $144.54	Professional		$95.50	$114.82	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $190.55	Professional		$109.65	$141.25	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $263.03	Professional		$100.00	$169.82	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $223.87	Facility		$123.03	$154.88	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $190.55	Professional		$97.72	$131.83	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $263.03	Professional		$102.33	$144.54	$263.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,230.27	Professional		$933.25	$1,230.27	$1,230.27