Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $416.87	Facility		$218.78	$380.19	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $489.78	Professional		$114.82	$223.87	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $288.40	Professional		$120.23	$229.09	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $331.13	Professional		$151.36	$257.04	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $363.08	Professional		$138.04	$194.98	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $263.03	Professional		$186.21	$186.21	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $275.42	Facility		$120.23	$165.96	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $281.84	Professional		$128.82	$229.09	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $269.15	Professional		$123.03	$162.18	$269.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96