Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $295.86 / $295.86	Facility		$147.63	$295.86	$295.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $147.63 / $367.00	Professional		$106.35	$147.63	$367.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $205.33 / $261.74	Professional		$125.30	$205.33	$261.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $218.29 / $323.76	Professional		$135.81	$218.29	$323.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $175.85 / $293.35	Professional		$112.91	$175.85	$293.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $143.34 / $228.30	Facility		$113.54	$143.34	$228.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $190.00 / $211.00	Professional		$80.00	$190.00	$211.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $171.07 / $269.20	Professional		$105.85	$171.07	$269.20
United Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $160.75 / $291.14	Professional		$115.22	$160.75	$291.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $486.84 / $555.89 / $555.89	Facility		$486.84	$555.89	$555.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $725.74 / $944.96 / $944.96	Professional		$725.74	$944.96	$944.96