Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $98.63 / $206.70	Facility		$92.17	$98.63	$206.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $121.33 / $128.41	Professional		$53.43	$121.33	$128.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $214.12	Professional		$214.12	$214.12	$214.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $141.11 / $267.91	Facility		$117.59	$141.11	$267.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $110.00 / $117.33	Professional		$99.00	$110.00	$117.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $90.72	Facility		$84.33	$88.85	$90.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $143.63	Professional		$64.86	$88.85	$143.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $121.12 / $166.95	Facility		$35.72	$121.12	$166.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $99.72	Professional		$82.00	$82.00	$99.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $186.99 / $250.98	Professional		$145.19	$186.99	$250.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $69.62 / $103.31	Professional		$48.78	$69.62	$103.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.15 / $695.21 / $695.21	Facility		$229.15	$695.21	$695.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $702.53 / $702.53 / $907.65	Professional		$702.53	$702.53	$907.65