Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $213.80	Facility		$72.44	$109.65	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $199.53	Professional		$57.54	$123.03	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $131.83	Professional		$66.07	$93.33	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $177.83	Professional		$95.50	$123.03	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $151.36	Professional		$72.44	$97.72	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $177.83	Facility		$74.13	$120.23	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $177.83	Professional		$67.61	$87.10	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $147.91	Professional		$66.07	$83.18	$147.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54