Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $123.48 / $213.02	Facility		$123.48	$123.48	$213.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $123.48 / $123.48	Professional		$55.29	$123.48	$123.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $94.48 / $94.48	Professional		$94.48	$94.48	$94.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $135.66 / $257.61	Facility		$113.06	$135.66	$257.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $105.77 / $112.82	Professional		$95.19	$105.77	$112.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $87.24	Facility		$77.09	$77.09	$87.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $149.63	Professional		$56.28	$77.09	$149.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $122.85 / $160.52	Facility		$39.21	$122.85	$160.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $95.88	Professional		$79.00	$79.00	$95.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $231.96 / $257.00	Professional		$167.20	$231.96	$257.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $70.36 / $99.33	Professional		$50.62	$70.36	$99.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $220.34 / $771.02 / $771.02	Facility		$220.34	$771.02	$771.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $779.14 / $779.14 / $1,044.90	Professional		$779.14	$779.14	$1,044.90