Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $253.29 / $253.29	Facility		$85.76	$253.29	$253.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $81.83 / $136.53	Professional		$64.89	$81.83	$136.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $152.97 / $152.97	Professional		$118.20	$152.97	$152.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $130.02 / $189.96	Professional		$95.57	$130.02	$189.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $113.60 / $173.48	Professional		$76.04	$113.60	$173.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $94.34 / $144.78	Facility		$67.37	$94.34	$144.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $108.00 / $120.00	Professional		$60.00	$108.00	$120.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $116.45 / $153.80	Professional		$66.02	$116.45	$153.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $95.88 / $169.29	Professional		$75.64	$95.88	$169.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $346.80 / $346.80 / $346.80	Facility		$346.80	$346.80	$346.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $451.48 / $546.96 / $546.96	Professional		$451.48	$546.96	$546.96