Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $150.31 / $269.31	Facility		$92.12	$150.31	$269.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $138.28 / $196.00	Professional		$40.14	$138.28	$196.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $118.44 / $158.00	Professional		$94.75	$118.44	$158.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $151.94 / $288.49	Facility		$126.62	$151.94	$288.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $118.44 / $126.34	Professional		$106.60	$118.44	$126.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $97.69	Facility		$86.64	$86.64	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $144.38	Professional		$63.25	$86.64	$144.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $137.59 / $179.76	Facility		$40.15	$137.59	$179.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $107.39	Professional		$89.00	$89.00	$107.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $177.40 / $272.70	Professional		$177.40	$177.40	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $74.98 / $111.25	Professional		$52.52	$74.98	$111.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $246.75 / $789.50 / $789.50	Facility		$246.75	$789.50	$789.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $889.20 / $1,108.65	Professional		$889.20	$889.20	$1,108.65