Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $110.22 / $203.41	Facility		$69.65	$110.22	$203.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $80.67 / $170.31	Professional		$61.30	$80.67	$170.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $110.00 / $131.36	Professional		$83.32	$110.00	$131.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $117.78 / $164.77	Professional		$87.53	$117.78	$164.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $91.96 / $91.96	Facility		$91.96	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $96.28 / $155.88	Professional		$70.00	$96.28	$155.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $89.66 / $142.19	Facility		$73.29	$89.66	$142.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $73.93 / $173.64	Professional		$52.00	$73.93	$173.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $120.61 / $148.44	Professional		$75.27	$120.61	$148.44
United Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $85.85 / $142.59	Professional		$63.12	$85.85	$142.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $174.15 / $399.62	Facility		$174.15	$174.15	$399.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $463.73 / $463.73 / $463.73	Professional		$463.73	$463.73	$463.73