Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $138.63 / $239.15	Facility		$138.63	$138.63	$239.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $138.63 / $138.63	Professional		$69.91	$138.63	$138.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $130.59 / $142.49	Professional		$118.74	$130.59	$142.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.93 / $152.31 / $289.22	Facility		$126.93	$152.31	$289.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $118.74 / $130.61	Professional		$110.22	$118.74	$130.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $182.63	Professional		$64.86	$88.85	$182.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $138.63 / $180.22	Facility		$45.29	$138.63	$180.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $107.64	Professional		$89.00	$89.00	$107.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $184.30 / $283.39	Professional		$184.30	$184.30	$283.39
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $78.98 / $123.91	Professional		$58.47	$78.98	$123.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.38 / $734.34 / $734.34	Facility		$247.38	$734.34	$734.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $792.37 / $792.37 / $1,152.08	Professional		$792.37	$792.37	$1,152.08