Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $331.13	Facility		$131.83	$251.19	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $309.03	Professional		$91.20	$158.49	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $199.53	Professional		$104.71	$134.90	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $275.42	Professional		$109.65	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $263.03	Professional		$97.72	$147.91	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $251.19	Professional		$141.25	$141.25	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $218.78	Facility		$91.20	$131.83	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $295.12	Professional		$144.54	$194.98	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $204.17	Professional		$87.10	$125.89	$204.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14