Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $131.24 / $242.41	Professional		$114.34	$131.24	$242.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $199.50 / $261.31	Professional		$199.50	$199.50	$261.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $256.52 / $305.08	Professional		$172.83	$256.52	$305.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $129.43 / $210.02	Facility		$126.61	$129.43	$210.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $114.80 / $320.14	Professional		$114.80	$114.80	$320.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $235.30 / $350.90	Professional		$144.10	$235.30	$350.90
United Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $148.63 / $340.29	Professional		$120.56	$148.63	$340.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $659.65 / $659.65	Facility		$216.50	$659.65	$659.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $1,062.59 / $1,062.59	Professional		$827.90	$1,062.59	$1,062.59