Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $92.03 / $92.03	Facility		$92.03	$92.03	$92.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $102.49	Professional		$92.03	$92.03	$102.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $91.78	Professional		$54.00	$54.00	$91.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $97.71 / $126.08	Professional		$65.14	$97.71	$126.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $109.16 / $109.16	Facility		$92.03	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $94.03 / $124.24	Facility		$92.03	$94.03	$124.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $94.03 / $140.72	Professional		$45.11	$94.03	$140.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $148.13 / $176.89	Professional		$90.06	$148.13	$176.89
United Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $99.90 / $175.97	Professional		$82.17	$99.90	$175.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $498.64 / $498.64	Facility		$166.77	$498.64	$498.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $599.65 / $802.58 / $802.58	Professional		$599.65	$802.58	$802.58