Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $128.91 / $222.37	Facility		$128.91	$128.91	$222.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $128.91 / $128.91	Professional		$69.91	$128.91	$128.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $124.66 / $132.50	Professional		$121.46	$124.66	$132.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.02 / $141.63 / $268.93	Facility		$118.02	$141.63	$268.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $110.42 / $110.42	Professional		$83.92	$110.42	$110.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.06 / $102.60 / $102.60	Facility		$91.06	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $182.25	Professional		$74.90	$102.60	$182.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $128.91 / $167.58	Facility		$45.51	$128.91	$167.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $104.00	Professional		$83.00	$83.00	$104.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $170.40 / $262.00	Professional		$170.40	$170.40	$262.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $73.45 / $115.22	Professional		$56.42	$73.45	$115.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $238.65 / $836.95 / $836.95	Facility		$238.65	$836.95	$836.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $936.45 / $936.45 / $1,065.00	Professional		$936.45	$936.45	$1,065.00