Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $262.70 / $262.70	Facility		$131.47	$262.70	$262.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $130.65 / $276.42	Professional		$80.92	$130.65	$276.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $168.37 / $233.06	Professional		$123.80	$168.37	$233.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $187.13 / $282.88	Professional		$114.48	$187.13	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $150.54 / $259.60	Professional		$95.74	$150.54	$259.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $123.04 / $198.34	Facility		$96.98	$123.04	$198.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $169.00 / $188.00	Professional		$65.00	$169.00	$188.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $149.93 / $240.70	Professional		$102.00	$149.93	$240.70
United Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $138.71 / $263.41	Professional		$98.52	$138.71	$263.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.90 / $478.90 / $478.90	Facility		$478.90	$478.90	$478.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $623.77 / $842.92 / $842.92	Professional		$623.77	$842.92	$842.92