Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $323.59	Facility		$112.20	$165.96	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $323.59	Professional		$81.28	$134.90	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $204.17	Professional		$81.28	$144.54	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $275.42	Professional		$138.04	$194.98	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $234.42	Professional		$104.71	$144.54	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $229.09	Facility		$107.15	$158.49	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87
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 $95.50 / $125.89 / $213.80	Professional		$95.50	$125.89	$213.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95