Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $208.24 / $512.13	Facility		$124.09	$208.24	$512.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $165.31 / $430.60	Professional		$112.69	$165.31	$430.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.35 / $247.89 / $315.99	Professional		$193.35	$247.89	$315.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $295.73 / $404.73	Professional		$193.13	$295.73	$404.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $221.38 / $362.20	Professional		$150.30	$221.38	$362.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $201.26 / $299.69	Facility		$148.21	$201.26	$299.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $225.00 / $256.00	Professional		$130.00	$225.00	$256.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $196.00 / $312.60	Professional		$133.25	$196.00	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $199.26 / $343.87	Professional		$154.36	$199.26	$343.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $656.78 / $656.78 / $656.78	Facility		$656.78	$656.78	$656.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $933.45 / $1,111.43 / $1,111.43	Professional		$933.45	$1,111.43	$1,111.43