Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $103.82 / $179.07	Facility		$103.82	$103.82	$179.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $103.82 / $147.00	Professional		$50.62	$103.82	$147.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $88.92 / $88.92	Professional		$74.69	$88.92	$88.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $175.88 / $216.60	Facility		$108.00	$175.88	$216.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $88.92 / $97.81	Professional		$82.54	$88.92	$97.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Facility		$65.81	$65.81	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $136.50	Professional		$48.04	$65.81	$136.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $103.82 / $134.97	Facility		$33.93	$103.82	$134.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $80.61	Professional		$66.00	$66.00	$80.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $138.10 / $212.30	Professional		$138.10	$138.10	$212.30
United Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $58.62 / $85.76	Professional		$43.49	$58.62	$85.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $549.05 / $549.05	Facility		$185.25	$549.05	$549.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $593.47 / $593.47 / $863.10	Professional		$593.47	$593.47	$863.10