Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $152.63 / $152.63	Facility		$152.63	$152.63	$152.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $81.48 / $104.09	Professional		$71.20	$81.48	$104.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $153.62 / $153.62	Professional		$153.62	$153.62	$153.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $83.41 / $184.20	Professional		$69.51	$83.41	$184.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.03 / $120.03 / $120.03	Facility		$120.03	$120.03	$120.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $111.43 / $216.77	Professional		$70.70	$111.43	$216.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $86.80 / $116.50	Facility		$67.64	$86.80	$116.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Professional		$112.00	$112.00	$112.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $114.34 / $137.19	Professional		$92.45	$114.34	$137.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $82.80 / $163.47	Professional		$61.90	$82.80	$163.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $371.45 / $371.45	Facility		$151.60	$371.45	$371.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $468.12 / $598.42 / $700.28	Professional		$468.12	$598.42	$700.28