Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.48 / $385.72 / $385.72	Facility		$198.48	$385.72	$385.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $133.31 / $333.46	Professional		$106.32	$133.31	$333.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.09 / $202.09 / $286.07	Professional		$202.09	$202.09	$286.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $267.37 / $334.07	Professional		$180.13	$267.37	$334.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $152.16 / $35,600.00	Facility		$0.71	$152.16	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $191.96 / $316.64	Professional		$134.94	$191.96	$316.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.66 / $153.31 / $215.18	Facility		$126.66	$153.31	$215.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $188.00 / $800.00	Professional		$169.00	$188.00	$800.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $209.74 / $272.54	Professional		$121.42	$209.74	$272.54
United Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $159.71 / $269.88	Professional		$118.05	$159.71	$269.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $640.97 / $640.97	Facility		$244.96	$640.97	$640.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Professional		$1,352.50	$1,352.50	$1,352.50