Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $217.83 / $315.20	Facility		$107.47	$217.83	$315.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $105.43 / $245.03	Professional		$77.16	$105.43	$245.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $84.77 / $150.44	Professional		$84.77	$84.77	$150.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $170.56 / $248.95	Professional		$104.09	$170.56	$248.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $150.81 / $260.80	Professional		$91.33	$150.81	$260.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $107.47 / $171.38	Facility		$60.00	$107.47	$171.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $117.15 / $263.70	Professional		$75.00	$117.15	$263.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $63.20 / $218.10	Professional		$63.20	$63.20	$218.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $119.36 / $214.94	Professional		$93.02	$119.36	$214.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $431.16 / $431.16 / $431.16	Facility		$431.16	$431.16	$431.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $679.98 / $679.98 / $679.98	Professional		$679.98	$679.98	$679.98