Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $120.01 / $129.22	Facility		$43.80	$120.01	$129.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $105.26 / $152.44	Professional		$43.80	$105.26	$152.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $199.86 / $280.25	Professional		$63.14	$199.86	$280.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $71.19	Facility		$71.19	$71.19	$71.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $135.09 / $289.98	Professional		$49.46	$135.09	$289.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $117.54 / $210.21	Facility		$43.80	$117.54	$210.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $156.00 / $174.00	Professional		$90.00	$156.00	$174.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $130.40 / $219.27	Professional		$59.36	$130.40	$219.27
United Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $144.65 / $250.47	Professional		$104.59	$144.65	$250.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $220.40 / $220.40 / $220.40	Facility		$220.40	$220.40	$220.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $466.03 / $855.04 / $1,051.58	Professional		$466.03	$855.04	$1,051.58