Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.78 / $235.57 / $471.60	Facility		$151.78	$235.57	$471.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $160.22 / $364.20	Professional		$118.65	$160.22	$364.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $228.49 / $291.27	Professional		$177.96	$228.49	$291.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $285.43 / $377.19	Professional		$198.82	$285.43	$377.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $204.69 / $350.49	Professional		$149.50	$204.69	$350.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $185.66 / $280.50	Facility		$158.00	$185.66	$280.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $183.33 / $403.39	Professional		$131.00	$183.33	$403.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $179.30 / $323.60	Professional		$122.50	$179.30	$323.60
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $186.93 / $327.58	Professional		$142.03	$186.93	$327.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $300.89 / $300.89 / $681.03	Facility		$300.89	$300.89	$681.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,010.75 / $1,010.75 / $1,010.75	Professional		$1,010.75	$1,010.75	$1,010.75