Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.97 / $166.78 / $384.24	Facility		$127.97	$166.78	$384.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $139.84 / $301.48	Professional		$103.68	$139.84	$301.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $197.76 / $236.26	Professional		$130.31	$197.76	$236.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.77 / $213.64 / $309.06	Professional		$158.77	$213.64	$309.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $149.03	Facility		$149.03	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.41 / $172.61 / $292.43	Professional		$120.41	$172.61	$292.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $154.34 / $235.99	Facility		$125.00	$154.34	$235.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $140.69 / $328.26	Professional		$110.00	$140.69	$328.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $188.97 / $242.20	Professional		$122.90	$188.97	$242.20
United Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $148.13 / $269.27	Professional		$113.41	$148.13	$269.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $282.95 / $634.03	Facility		$282.95	$282.95	$634.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $827.90 / $827.90	Professional		$827.90	$827.90	$827.90