Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $245.47	Professional		$93.33	$109.65	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $131.83	Professional		$87.10	$95.50	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $269.15	Professional		$112.20	$190.55	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $257.04	Professional		$104.71	$158.49	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $223.87	Facility		$95.50	$131.83	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $208.93	Professional		$91.20	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $199.53	Professional		$89.13	$117.49	$199.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,348.96	Professional		$1,071.52	$1,348.96	$1,348.96