Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.26 / $129.68 / $291.99	Facility		$97.26	$129.68	$291.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $112.37 / $257.60	Professional		$80.39	$112.37	$257.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $153.91 / $192.05	Professional		$117.58	$153.91	$192.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $168.57 / $235.23	Professional		$123.42	$168.57	$235.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $135.00 / $223.28	Professional		$88.52	$135.00	$223.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $116.13 / $178.84	Facility		$94.00	$116.13	$178.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $107.87 / $246.11	Professional		$70.00	$107.87	$246.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $172.10 / $215.47	Professional		$108.20	$172.10	$215.47
United Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $121.38 / $203.48	Professional		$88.00	$121.38	$203.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $258.43 / $258.43 / $704.00	Facility		$258.43	$258.43	$704.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $688.14 / $688.14 / $688.14	Professional		$688.14	$688.14	$688.14