Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $110.17 / $110.17	Facility		$110.17	$110.17	$110.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $110.17 / $122.73	Professional		$83.34	$110.17	$122.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $104.85 / $195.39	Professional		$104.85	$104.85	$195.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $180.12 / $269.83	Professional		$108.70	$180.12	$269.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $110.17 / $176.27	Facility		$103.02	$110.17	$176.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $103.52 / $264.79	Professional		$50.60	$103.52	$264.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $202.20 / $275.39	Professional		$184.00	$202.20	$275.39
United Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $126.54 / $271.27	Professional		$99.52	$126.54	$271.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $181.44 / $544.91 / $544.91	Facility		$181.44	$544.91	$544.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $879.98 / $879.98	Professional		$698.47	$879.98	$879.98