Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $223.87 / $630.96	Facility		$40.74	$223.87	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $234.42	Professional		$39.81	$112.20	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $208.93 / $380.19	Professional		$60.26	$208.93	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $131.83 / $295.12	Professional		$47.86	$131.83	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $123.03 / $263.03	Facility		$41.69	$123.03	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $218.78 / $257.04	Professional		$66.07	$218.78	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $204.17	Professional		$39.81	$100.00	$204.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90