Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $199.53	Professional		$100.00	$112.20	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $354.81	Professional		$63.10	$112.20	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $295.12	Professional		$104.71	$165.96	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $234.42	Facility		$104.71	$138.04	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $245.47	Professional		$107.15	$190.55	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $229.09	Professional		$97.72	$125.89	$229.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $870.96	Professional		$691.83	$691.83	$870.96