Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $144.54	Facility		$91.20	$91.20	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $109.65	Professional		$91.20	$93.33	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $112.20	Professional		$75.86	$87.10	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $134.90	Professional		$64.57	$100.00	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $151.36	Facility		$91.20	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $169.82	Facility		$91.20	$102.33	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Professional		$162.18	$194.98	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $158.49	Professional		$75.86	$100.00	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Professional		$602.56	$794.33	$794.33