Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.39 / $337.21 / $337.21	Facility		$170.39	$337.21	$337.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $117.61 / $337.21	Professional		$93.76	$117.61	$337.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $161.85 / $206.31	Professional		$127.12	$161.85	$206.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $226.45 / $283.89	Professional		$155.34	$226.45	$283.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $132.90 / $35,600.00	Facility		$0.71	$132.90	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $166.11 / $269.45	Professional		$117.42	$166.11	$269.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $133.93 / $187.48	Facility		$110.16	$133.93	$187.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $160.07 / $281.95	Professional		$148.00	$160.07	$281.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $183.19 / $237.93	Professional		$106.07	$183.19	$237.93
United Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $135.41 / $235.60	Professional		$101.53	$135.41	$235.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $560.79 / $560.79	Facility		$214.51	$560.79	$560.79
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