Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.24 / $206.66 / $206.66	Facility		$102.24	$206.66	$206.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $102.13 / $236.40	Professional		$61.34	$102.13	$236.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $180.44 / $181.18	Professional		$96.67	$180.44	$181.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $144.33 / $218.36	Professional		$87.13	$144.33	$218.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $114.70 / $199.21	Professional		$74.40	$114.70	$199.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $92.94 / $150.53	Facility		$71.50	$92.94	$150.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $132.00 / $147.00	Professional		$40.00	$132.00	$147.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $124.06 / $188.19	Professional		$67.91	$124.06	$188.19
United Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $108.63 / $205.61	Professional		$76.34	$108.63	$205.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $356.87 / $356.87 / $356.87	Facility		$356.87	$356.87	$356.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $657.47 / $657.47	Professional		$464.35	$657.47	$657.47