Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.41 / $215.08 / $215.08	Facility		$106.41	$215.08	$215.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $106.41 / $274.12	Professional		$62.31	$106.41	$274.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $147.63 / $188.19	Professional		$101.16	$147.63	$188.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $152.18 / $230.37	Professional		$87.13	$152.18	$230.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $122.35 / $207.70	Professional		$74.66	$122.35	$207.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.65 / $100.84 / $161.31	Facility		$73.65	$100.84	$161.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $138.00 / $153.00	Professional		$60.00	$138.00	$153.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $124.06 / $196.96	Professional		$81.48	$124.06	$196.96
United Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $114.94 / $213.65	Professional		$85.13	$114.94	$213.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $356.87 / $356.87 / $356.87	Facility		$356.87	$356.87	$356.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $685.73 / $685.73	Professional		$464.35	$685.73	$685.73