Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $158.49 / $323.59	Facility		$85.11	$158.49	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $251.19	Professional		$83.18	$109.65	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $154.88	Professional		$89.13	$104.71	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $245.47	Professional		$117.49	$165.96	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $223.87	Professional		$89.13	$134.90	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Professional		$147.91	$147.91	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $199.53	Facility		$89.13	$123.03	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $239.88	Professional		$147.91	$190.55	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95