Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $288.40	Facility		$93.33	$218.78	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $316.23	Professional		$89.13	$151.36	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $186.21	Professional		$95.50	$123.03	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $257.04	Professional		$100.00	$158.49	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $239.88	Professional		$91.20	$138.04	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $234.42	Professional		$125.89	$125.89	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Facility		$87.10	$123.03	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $288.40	Professional		$144.54	$186.21	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $186.21	Professional		$79.43	$114.82	$186.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25