Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $354.81	Facility		$77.62	$128.82	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $245.47	Professional		$97.72	$128.82	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $194.98	Professional		$81.28	$107.15	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $147.91	Professional		$83.18	$112.20	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $218.78	Professional		$95.50	$134.90	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $199.53	Facility		$102.33	$138.04	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $245.47	Professional		$109.65	$151.36	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $239.88	Professional		$104.71	$138.04	$239.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,047.13	Professional		$812.83	$1,047.13	$1,047.13