Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $312.73 / $624.49	Facility		$120.51	$312.73	$624.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.66 / $204.69 / $470.43	Professional		$148.66	$204.69	$470.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.35 / $302.27 / $385.32	Professional		$238.35	$302.27	$385.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.06 / $369.92 / $496.33	Professional		$251.06	$369.92	$496.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $278.45 / $441.96	Professional		$194.08	$278.45	$441.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.57 / $254.89 / $374.69	Facility		$183.57	$254.89	$374.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $279.00 / $313.00	Professional		$140.00	$279.00	$313.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $247.39 / $381.60	Professional		$154.00	$247.39	$381.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $248.15 / $434.29	Professional		$190.48	$248.15	$434.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Facility		$876.85	$876.85	$876.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,155.58 / $1,355.26 / $1,355.26	Professional		$1,155.58	$1,355.26	$1,355.26