Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $75.05 / $323.68	Facility		$27.14	$75.05	$323.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $78.26 / $208.16	Professional		$69.98	$78.26	$208.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $99.03 / $119.88	Professional		$99.03	$99.03	$119.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $138.47 / $193.56	Professional		$109.60	$138.47	$193.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $109.05 / $181.04	Professional		$78.26	$109.05	$181.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $89.82 / $134.78	Facility		$75.05	$89.82	$134.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $186.84 / $397.22	Professional		$89.82	$186.84	$397.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $106.89 / $131.18	Professional		$68.50	$106.89	$131.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $95.96 / $189.75	Professional		$74.69	$95.96	$189.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $352.69 / $352.69	Facility		$173.20	$352.69	$352.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $600.90 / $600.90	Professional		$468.55	$600.90	$600.90