Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.18 / $122.18 / $122.18	Facility		$122.18	$122.18	$122.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $122.18 / $187.56	Professional		$113.50	$122.18	$187.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $122.42 / $216.29	Professional		$109.89	$122.42	$216.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $225.42 / $294.14	Professional		$140.84	$225.42	$294.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $139.44 / $657.97	Facility		$139.44	$139.44	$657.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $172.27 / $292.04	Professional		$119.72	$172.27	$292.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $146.62 / $226.24	Facility		$117.30	$146.62	$226.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $294.89	Professional		$156.00	$156.00	$294.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $187.80 / $246.30	Professional		$160.90	$187.80	$246.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $127.93 / $233.47	Professional		$102.21	$127.93	$233.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $1,564.67 / $1,564.67	Facility		$283.52	$1,564.67	$1,564.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,165.68 / $1,165.68 / $1,165.68	Professional		$1,165.68	$1,165.68	$1,165.68