Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $297.58 / $864.47	Facility		$75.86	$297.58	$864.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $101.78 / $135.22	Professional		$22.47	$101.78	$135.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $97.87 / $97.87	Professional		$93.95	$97.87	$97.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.37 / $361.37 / $361.37	Facility		$280.37	$361.37	$361.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $70.47 / $109.61	Professional		$70.47	$70.47	$109.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $123.76 / $411.01	Facility		$61.12	$123.76	$411.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $150.03 / $204.38	Professional		$59.04	$150.03	$204.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $125.27 / $150.33	Facility		$106.48	$125.27	$150.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $122.99 / $122.99	Professional		$92.24	$122.99	$122.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $398.82 / $398.82 / $446.98	Facility		$398.82	$398.82	$446.98
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $70.47 / $156.59	Professional		$61.50	$70.47	$156.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $743.80 / $743.80	Facility		$250.54	$743.80	$743.80