Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $146.44 / $220.51	Facility		$127.26	$146.44	$220.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $92.48 / $136.82	Professional		$76.63	$92.48	$136.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $169.15 / $188.56	Professional		$91.84	$169.15	$188.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $120.81 / $221.85	Professional		$77.31	$120.81	$221.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $105.00 / $210.33	Professional		$68.00	$105.00	$210.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $95.46 / $121.34	Facility		$76.80	$95.46	$121.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $93.40 / $143.00	Professional		$83.06	$93.40	$143.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $89.12 / $140.22	Professional		$71.42	$89.12	$140.22
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $99.15 / $236.11	Professional		$77.81	$99.15	$236.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $433.30 / $433.30 / $433.30	Facility		$433.30	$433.30	$433.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $708.90 / $816.38	Professional		$557.69	$708.90	$816.38