Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $206.02 / $206.02	Facility		$101.91	$206.02	$206.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $101.91 / $259.47	Professional		$62.31	$101.91	$259.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $131.60 / $180.60	Professional		$95.32	$131.60	$180.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $143.84 / $216.36	Professional		$87.13	$143.84	$216.36
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 / $114.64 / $198.55	Professional		$74.40	$114.64	$198.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $92.94 / $150.02	Facility		$72.25	$92.94	$150.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $132.00 / $146.00	Professional		$45.00	$132.00	$146.00
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 $75.79 / $105.91 / $204.95	Professional		$75.79	$105.91	$204.95
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 / $655.29 / $655.29	Professional		$464.35	$655.29	$655.29