Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $275.42	Professional		$117.49	$151.36	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $154.88	Professional		$91.20	$107.15	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $407.38	Professional		$134.90	$213.80	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $338.84	Professional		$128.82	$190.55	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $213.80 / $288.40	Professional		$46.77	$213.80	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $223.87	Professional		$114.82	$147.91	$223.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,000.00	Professional		$891.25	$891.25	$1,000.00