Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.58 / $200.14 / $238.78	Facility		$178.58	$200.14	$238.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.12 / $178.48 / $219.05	Professional		$159.12	$178.48	$219.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $198.92	Professional		$62.92	$62.92	$198.92
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 $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $200.14 / $240.17	Facility		$159.40	$200.14	$240.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $161.71 / $161.71	Professional		$152.47	$161.71	$161.71
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00