Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $523.22 / $707.52	Facility		$99.96	$523.22	$707.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $91.36 / $132.38	Professional		$68.65	$91.36	$132.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $90.92 / $200.26	Professional		$88.70	$90.92	$200.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $82.51 / $184.57	Professional		$60.99	$82.51	$184.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $102.00 / $175.25	Professional		$72.00	$102.00	$175.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $103.70 / $145.06	Facility		$76.48	$103.70	$145.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $86.74 / $135.00	Professional		$84.30	$86.74	$135.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $114.64 / $170.43	Professional		$90.49	$114.64	$170.43
United Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $114.38 / $241.09	Professional		$91.13	$114.38	$241.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.90 / $363.90 / $363.90	Facility		$363.90	$363.90	$363.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $488.59 / $593.17 / $774.23	Professional		$488.59	$593.17	$774.23