Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.21 / $138.21 / $238.47	Facility		$138.21	$138.21	$238.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $138.21 / $138.21	Professional		$67.39	$138.21	$138.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Professional		$142.06	$142.06	$142.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $234.13 / $288.33	Facility		$143.80	$234.13	$288.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $118.38 / $118.38	Professional		$89.97	$118.38	$118.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $181.88	Professional		$72.31	$99.06	$181.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $138.21 / $179.67	Facility		$45.17	$138.21	$179.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $107.34	Professional		$88.00	$88.00	$107.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $183.80 / $282.70	Professional		$183.80	$183.80	$282.70
United Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $78.04 / $123.55	Professional		$57.90	$78.04	$123.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $246.62 / $730.97 / $730.97	Facility		$246.62	$730.97	$730.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $790.38 / $790.38 / $1,149.00	Professional		$790.38	$790.38	$1,149.00