Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $204.17	Facility		$199.53	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $446.68	Professional		$186.21	$213.80	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $660.69	Professional		$177.83	$288.40	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $660.69	Professional		$169.82	$208.93	$660.69
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 $190.55 / $229.09 / $389.05	Facility		$190.55	$229.09	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $478.63	Professional		$186.21	$331.13	$478.63
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 $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24