Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.12 / $255.24 / $255.24	Facility		$119.12	$255.24	$255.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $130.69 / $348.14	Professional		$87.38	$130.69	$348.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $177.14 / $225.81	Professional		$119.68	$177.14	$225.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $186.33 / $278.68	Professional		$112.10	$186.33	$278.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $147.52 / $250.87	Professional		$93.93	$147.52	$250.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $119.57 / $192.92	Facility		$95.03	$119.57	$192.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $164.00 / $183.00	Professional		$75.00	$164.00	$183.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $143.71 / $233.50	Professional		$104.75	$143.71	$233.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $138.47 / $252.35	Professional		$98.91	$138.47	$252.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $412.83 / $458.76 / $458.76	Facility		$412.83	$458.76	$458.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $817.69 / $817.69	Professional		$598.54	$817.69	$817.69