Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.36 / $133.29 / $304.85	Facility		$131.36	$133.29	$304.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $133.29 / $209.04	Professional		$120.89	$133.29	$209.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $216.69 / $264.04	Professional		$182.40	$216.69	$264.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $174.83 / $409.94	Professional		$123.12	$174.83	$409.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $198.60 / $360.67	Professional		$139.72	$198.60	$360.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.20 / $149.41 / $203.40	Facility		$120.20	$149.41	$203.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $162.10 / $186.00	Professional		$118.60	$162.10	$186.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $210.39 / $262.27	Professional		$121.18	$210.39	$262.27
United Facility/Professional Professional Modifier Low / Median / High Price $127.24 / $168.72 / $340.11	Professional		$127.24	$168.72	$340.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $653.65 / $653.65	Facility		$265.00	$653.65	$653.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $831.61 / $1,086.68 / $1,260.00	Professional		$831.61	$1,086.68	$1,260.00