Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $99.91 / $232.39	Facility		$98.95	$99.91	$232.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $99.91 / $164.39	Professional		$90.61	$99.91	$164.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $138.72 / $198.57	Professional		$92.61	$138.72	$198.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $119.51 / $317.24	Professional		$98.09	$119.51	$317.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $150.21 / $274.95	Professional		$106.72	$150.21	$274.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.90 / $154.47	Facility		$91.20	$114.90	$154.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $123.58 / $148.00	Professional		$89.44	$123.58	$148.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $166.07 / $208.52	Professional		$96.65	$166.07	$208.52
United Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $129.47 / $259.33	Professional		$97.02	$129.47	$259.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $520.60 / $520.60	Facility		$211.27	$520.60	$520.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $625.05 / $863.85 / $878.03	Professional		$625.05	$863.85	$878.03