Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $389.05	Facility		$323.59	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $323.59	Professional		$257.04	$275.42	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $288.40 / $309.03	Professional		$89.13	$288.40	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $389.05	Facility		$251.19	$288.40	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $331.13	Professional		$257.04	$257.04	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74