Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $346.74	Facility		$120.23	$223.87	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $478.63	Professional		$141.25	$204.17	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $436.52	Facility		$257.04	$323.59	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $489.78	Professional		$190.55	$199.53	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $186.21	Facility		$44.67	$64.57	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $478.63	Professional		$204.17	$288.40	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $302.00	Facility		$107.15	$218.78	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Professional		$331.13	$331.13	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $363.08	Professional		$162.18	$213.80	$363.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $1,862.09	Professional		$1,445.44	$1,862.09	$1,862.09