Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $125.71 / $301.69	Facility		$124.43	$125.71	$301.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $124.79 / $168.78	Professional		$101.33	$124.79	$168.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $185.94 / $190.64	Professional		$143.21	$185.94	$190.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.38 / $169.73 / $179.25	Facility		$149.38	$169.73	$179.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $128.61 / $257.23	Professional		$96.23	$128.61	$257.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $152.16 / $293.00	Professional		$92.55	$152.16	$293.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $145.25 / $199.85	Facility		$110.99	$145.25	$199.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $138.63 / $182.00	Professional		$110.65	$138.63	$182.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $126.35 / $212.99	Professional		$96.86	$126.35	$212.99
United Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $153.72 / $337.83	Professional		$113.63	$153.72	$337.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $591.95 / $591.95 / $591.95	Facility		$591.95	$591.95	$591.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $786.09 / $980.25 / $1,068.00	Professional		$786.09	$980.25	$1,068.00