Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $225.72 / $225.72	Facility		$111.69	$225.72	$225.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $111.69 / $250.99	Professional		$70.87	$111.69	$250.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $144.37 / $197.59	Professional		$89.81	$144.37	$197.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $158.49 / $237.72	Professional		$99.06	$158.49	$237.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $127.70 / $221.84	Professional		$83.50	$127.70	$221.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $104.43 / $168.63	Facility		$82.00	$104.43	$168.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $145.00 / $160.00	Professional		$50.00	$145.00	$160.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $137.36 / $206.19	Professional		$77.20	$137.36	$206.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $124.20 / $224.71	Professional		$85.80	$124.20	$224.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $405.70 / $405.70 / $405.70	Facility		$405.70	$405.70	$405.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $717.08 / $717.08	Professional		$526.12	$717.08	$717.08