Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.49 / $351.00 / $351.00	Facility		$176.49	$351.00	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $122.62 / $334.36	Professional		$97.81	$122.62	$334.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $214.74 / $214.82	Professional		$168.52	$214.74	$214.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.34 / $235.47 / $299.64	Professional		$161.34	$235.47	$299.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $138.29 / $35,600.00	Facility		$0.71	$138.29	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $173.72 / $280.81	Professional		$122.07	$173.72	$280.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.25 / $139.69 / $196.24	Facility		$114.25	$139.69	$196.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $157.00 / $293.80	Professional		$140.00	$157.00	$293.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $190.25 / $247.54	Professional		$110.12	$190.25	$247.54
United Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $141.40 / $243.22	Professional		$105.95	$141.40	$243.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $222.27 / $582.29 / $582.29	Facility		$222.27	$582.29	$582.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,082.00 / $1,082.00	Professional		$1,082.00	$1,082.00	$1,082.00