Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $149.81 / $325.45	Facility		$111.20	$149.81	$325.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $125.92 / $234.63	Professional		$82.75	$125.92	$234.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $157.02 / $200.16	Professional		$96.45	$157.02	$200.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $197.46 / $259.80	Professional		$141.53	$197.46	$259.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $141.88 / $241.15	Professional		$105.03	$141.88	$241.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $140.00 / $201.48	Facility		$110.00	$140.00	$201.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $126.70 / $276.72	Professional		$110.00	$126.70	$276.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $128.10 / $224.30	Professional		$95.29	$128.10	$224.30
United Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $129.62 / $226.22	Professional		$99.84	$129.62	$226.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $217.84 / $217.84 / $488.06	Facility		$217.84	$217.84	$488.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $699.89 / $699.89 / $699.89	Professional		$699.89	$699.89	$699.89