Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $388.58 / $615.76	Facility		$84.12	$388.58	$615.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $86.79 / $208.56	Professional		$77.53	$86.79	$208.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $107.07 / $147.47	Professional		$77.06	$107.07	$147.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $138.09 / $201.85	Professional		$91.59	$138.09	$201.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $96.79 / $657.97	Facility		$96.79	$96.79	$657.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $109.92 / $194.43	Professional		$81.03	$109.92	$194.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $93.00 / $145.81	Facility		$73.40	$93.00	$145.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $119.00 / $499.55	Professional		$108.00	$119.00	$499.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $122.31 / $171.80	Professional		$100.80	$122.31	$171.80
United Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $88.06 / $161.10	Professional		$66.05	$88.06	$161.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $508.66 / $508.66	Facility		$195.88	$508.66	$508.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $746.29 / $746.29 / $746.29	Professional		$746.29	$746.29	$746.29