Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.18 / $219.18 / $416.41	Facility		$219.18	$219.18	$416.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $241.40 / $307.93	Professional		$109.53	$241.40	$307.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $248.11 / $248.11	Professional		$173.68	$248.11	$248.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.02 / $265.22 / $503.62	Facility		$221.02	$265.22	$503.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $206.76 / $220.54	Professional		$186.08	$206.76	$220.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.10 / $244.22	Professional		$98.55	$135.10	$244.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $240.14 / $313.82	Facility		$78.89	$240.14	$313.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $187.44	Professional		$154.00	$154.00	$187.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.22 / $297.73 / $462.39	Professional		$269.22	$297.73	$462.39
United Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $136.31 / $215.77	Professional		$101.83	$136.31	$215.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $430.75 / $1,281.52 / $1,281.52	Facility		$430.75	$1,281.52	$1,281.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.26 / $1,380.26 / $2,007.15	Professional		$1,380.26	$1,380.26	$2,007.15