Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $141.86 / $187.53	Professional		$121.28	$141.86	$187.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $98.33 / $108.26	Professional		$98.33	$98.33	$108.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $233.87 / $392.31	Professional		$111.02	$233.87	$392.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $198.53 / $344.12	Professional		$140.30	$198.53	$344.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $174.00 / $204.00	Professional		$132.41	$174.00	$204.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $172.45 / $224.45	Professional		$46.40	$172.45	$224.45
United Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $156.50 / $260.43	Professional		$116.94	$156.50	$260.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $886.02 / $886.02 / $1,000.50	Professional		$886.02	$886.02	$1,000.50