Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.60 / $245.44 / $245.44	Facility		$122.60	$245.44	$245.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $122.90 / $334.40	Professional		$80.25	$122.90	$334.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $161.66 / $216.96	Professional		$115.03	$161.66	$216.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $175.51 / $262.77	Professional		$111.26	$175.51	$262.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $142.44 / $242.19	Professional		$93.93	$142.44	$242.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $117.47 / $187.21	Facility		$92.67	$117.47	$187.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $158.00 / $175.00	Professional		$60.00	$158.00	$175.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $152.66 / $226.62	Professional		$86.72	$152.66	$226.62
United Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $134.61 / $244.99	Professional		$92.72	$134.61	$244.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $395.98 / $455.57 / $455.57	Facility		$395.98	$455.57	$455.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $785.23 / $785.23	Professional		$592.04	$785.23	$785.23