Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $370.80 / $818.04	Facility		$49.50	$370.80	$818.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $174.06 / $218.08	Professional		$157.46	$174.06	$218.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $240.97	Professional		$135.00	$135.00	$240.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.59 / $448.57 / $691.80	Professional		$347.59	$448.57	$691.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Facility		$227.29	$227.29	$227.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.13 / $174.06 / $254.40	Facility		$173.13	$174.06	$254.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $263.00 / $282.00	Professional		$173.13	$263.00	$282.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $419.76 / $657.57	Professional		$64.59	$419.76	$657.57
United Facility/Professional Professional Modifier Low / Median / High Price $173.98 / $269.29 / $452.90	Professional		$173.98	$269.29	$452.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $1,120.91 / $1,120.91	Facility		$373.35	$1,120.91	$1,120.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,176.10 / $1,728.30 / $1,728.30	Professional		$1,176.10	$1,728.30	$1,728.30