Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $90.54 / $173.44	Facility		$83.84	$90.54	$173.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $75.73 / $138.74	Professional		$55.74	$75.73	$138.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $146.63 / $146.63	Professional		$115.04	$146.63	$146.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $141.96 / $174.83	Facility		$105.37	$141.96	$174.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $75.29 / $139.61	Professional		$65.88	$75.29	$139.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Facility		$186.00	$186.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $80.01 / $134.53	Professional		$64.26	$80.01	$134.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $94.93 / $117.38	Facility		$73.73	$94.93	$117.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $94.93 / $94.93	Professional		$73.16	$94.93	$94.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $154.75 / $180.22	Professional		$85.19	$154.75	$180.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $82.43 / $127.97	Professional		$73.23	$82.43	$127.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $225.88 / $516.79	Facility		$184.07	$225.88	$516.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $824.10 / $824.10	Professional		$633.66	$824.10	$824.10