Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $193.20 / $193.20	Facility		$96.13	$193.20	$193.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $95.26 / $238.28	Professional		$53.55	$95.26	$238.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $158.81 / $168.86	Professional		$95.57	$158.81	$168.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $133.76 / $201.50	Professional		$76.39	$133.76	$201.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $105.10 / $186.56	Professional		$64.87	$105.10	$186.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $84.84 / $141.31	Facility		$64.06	$84.84	$141.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $124.00 / $138.00	Professional		$40.00	$124.00	$138.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $113.12 / $176.72	Professional		$61.99	$113.12	$176.72
United Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $100.84 / $192.38	Professional		$71.70	$100.84	$192.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $325.80 / $325.80	Facility		$325.80	$325.80	$325.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $618.82 / $618.82	Professional		$425.70	$618.82	$618.82