Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $224.64 / $224.64	Facility		$111.12	$224.64	$224.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $105.20 / $252.24	Professional		$68.22	$105.20	$252.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $197.28 / $197.28	Professional		$143.13	$197.28	$197.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $161.46 / $244.60	Professional		$94.87	$161.46	$244.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $131.22 / $223.30	Professional		$80.83	$131.22	$223.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $108.00 / $169.22	Facility		$78.68	$108.00	$169.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $144.00 / $159.00	Professional		$60.00	$144.00	$159.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $133.54 / $207.45	Professional		$72.78	$133.54	$207.45
United Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $124.29 / $223.00	Professional		$91.86	$124.29	$223.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $382.33 / $382.33 / $382.33	Facility		$382.33	$382.33	$382.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $496.07 / $715.23 / $715.23	Professional		$496.07	$715.23	$715.23