Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.72 / $88.72 / $88.72	Facility		$88.72	$88.72	$88.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $88.72 / $110.05	Professional		$78.02	$88.72	$110.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $148.25 / $185.47	Professional		$94.81	$148.25	$185.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $101.77 / $101.77	Facility		$101.77	$101.77	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $112.56 / $194.59	Professional		$78.14	$112.56	$194.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $90.09 / $124.21	Facility		$79.81	$90.09	$124.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $120.00 / $1,107.25	Professional		$117.00	$120.00	$1,107.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.17 / $1,333.17 / $1,333.17	Facility		$1,333.17	$1,333.17	$1,333.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $84.85 / $147.06	Professional		$65.25	$84.85	$147.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $189.15 / $1,105.00 / $1,105.00	Facility		$189.15	$1,105.00	$1,105.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $579.79 / $762.83	Professional		$579.79	$579.79	$762.83