Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $426.58	Facility		$141.25	$213.80	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $269.15	Professional		$72.44	$138.04	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $263.03	Professional		$117.49	$186.21	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $245.47	Professional		$63.10	$123.03	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $316.23	Professional		$95.50	$173.78	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $208.93	Facility		$77.62	$131.83	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $257.04	Professional		$85.11	$147.91	$257.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99