Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $562.34	Professional		$190.55	$213.80	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $416.87	Professional		$177.83	$288.40	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $549.54	Professional		$165.96	$234.42	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $588.84	Professional		$199.53	$316.23	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $389.05	Facility		$194.98	$223.87	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $457.09	Professional		$181.97	$323.59	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $407.38	Professional		$190.55	$245.47	$407.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89