Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $407.38 / $831.76	Facility		$87.10	$407.38	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $562.34	Professional		$81.28	$97.72	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $190.55	Professional		$87.10	$87.10	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $158.49	Facility		$85.11	$91.20	$158.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $158.49	Professional		$131.83	$131.83	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $295.12	Facility		$190.55	$263.03	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Professional		$85.11	$85.11	$112.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44