Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $322.60 / $322.60	Facility		$96.39	$322.60	$322.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $106.09 / $246.07	Professional		$87.02	$106.09	$246.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $153.88 / $153.88	Professional		$138.25	$153.88	$153.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $181.99 / $250.65	Professional		$124.52	$181.99	$250.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $146.33 / $223.54	Professional		$99.00	$146.33	$223.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $121.72 / $186.16	Facility		$89.27	$121.72	$186.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $139.00 / $155.00	Professional		$80.00	$139.00	$155.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $153.62 / $198.88	Professional		$93.39	$153.62	$198.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $123.39 / $217.81	Professional		$97.11	$123.39	$217.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $441.36 / $467.26 / $467.26	Facility		$441.36	$467.26	$467.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $607.13 / $702.61 / $702.61	Professional		$607.13	$702.61	$702.61