Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.63 / $115.50 / $210.67	Facility		$29.63	$115.50	$210.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $94.55 / $150.15	Professional		$71.70	$94.55	$150.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $74.00 / $153.75	Professional		$72.63	$74.00	$153.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $102.00 / $174.48	Professional		$77.70	$102.00	$174.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $90.00 / $189.94	Professional		$62.00	$90.00	$189.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $113.30 / $165.17	Facility		$74.41	$113.30	$165.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $106.70 / $128.00	Professional		$65.00	$106.70	$128.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $100.00 / $159.21	Professional		$73.65	$100.00	$159.21
United Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $104.48 / $211.39	Professional		$81.18	$104.48	$211.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $491.63 / $491.63 / $491.63	Facility		$491.63	$491.63	$491.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $634.46 / $802.65 / $805.43	Professional		$634.46	$802.65	$805.43