Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $338.84	Facility		$93.33	$169.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $281.84	Professional		$75.86	$120.23	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $208.93	Professional		$91.20	$131.83	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $275.42	Professional		$125.89	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $234.42	Professional		$93.33	$134.90	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $218.78	Professional		$147.91	$147.91	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $213.80	Facility		$93.33	$141.25	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $109.65	Professional		$85.11	$85.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $234.42	Professional		$72.44	$131.83	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $138.04	Facility		$64.57	$100.00	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $190.55	Professional		$85.11	$120.23	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31