Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $96.28 / $230.50	Facility		$84.20	$96.28	$230.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $114.38 / $303.20	Professional		$76.00	$114.38	$303.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $152.05 / $200.42	Professional		$92.23	$152.05	$200.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $162.91 / $239.79	Professional		$101.76	$162.91	$239.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $130.15 / $226.66	Professional		$85.06	$130.15	$226.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $107.53 / $173.63	Facility		$85.00	$107.53	$173.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $148.00 / $164.00	Professional		$55.00	$148.00	$164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $141.19 / $213.18	Professional		$79.86	$141.19	$213.18
United Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $121.98 / $229.63	Professional		$85.39	$121.98	$229.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $372.49 / $419.47 / $419.47	Facility		$372.49	$419.47	$419.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $541.15 / $732.11 / $732.11	Professional		$541.15	$732.11	$732.11