Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $73.50 / $256.62	Facility		$25.35	$73.50	$256.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $97.64 / $150.15	Professional		$74.91	$97.64	$150.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $77.15 / $103.07	Professional		$75.75	$77.15	$103.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $106.05 / $212.10	Professional		$81.04	$106.05	$212.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $100.00 / $200.85	Professional		$67.00	$100.00	$200.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $119.55 / $180.18	Facility		$80.94	$119.55	$180.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $100.00 / $133.00	Professional		$60.55	$100.00	$133.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $105.34 / $166.08	Professional		$77.65	$105.34	$166.08
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $109.75 / $219.72	Professional		$87.18	$109.75	$219.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $512.91 / $512.91 / $512.91	Facility		$512.91	$512.91	$512.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $661.64 / $836.70 / $839.55	Professional		$661.64	$836.70	$839.55