Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $141.62 / $346.08	Facility		$27.20	$141.62	$346.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $81.98 / $153.52	Professional		$76.50	$81.98	$153.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $112.29 / $133.81	Professional		$112.29	$112.29	$133.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $169.03 / $236.28	Professional		$127.92	$169.03	$236.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $127.89 / $204.79	Professional		$91.54	$127.89	$204.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $109.64 / $169.03	Facility		$81.98	$109.64	$169.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $205.71 / $505.71	Professional		$109.64	$205.71	$505.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $117.96 / $146.41	Professional		$77.93	$117.96	$146.41
United Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $110.66 / $205.52	Professional		$85.05	$110.66	$205.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $390.64 / $390.64	Facility		$194.13	$390.64	$390.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $509.49 / $674.25 / $674.25	Professional		$509.49	$674.25	$674.25