Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.05 / $231.10 / $308.79	Facility		$174.05	$231.10	$308.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $225.97 / $272.83	Professional		$204.73	$225.97	$272.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $256.19 / $262.54	Professional		$79.77	$256.19	$262.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.43 / $307.43 / $307.43	Facility		$307.43	$307.43	$307.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.98 / $258.01 / $309.61	Facility		$206.98	$258.01	$309.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $225.48	Professional		$207.49	$207.49	$225.48
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00