Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.53 / $241.40 / $241.40	Facility		$141.53	$241.40	$241.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $241.40 / $342.00	Professional		$130.91	$241.40	$342.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $184.71 / $276.00	Professional		$24.64	$184.71	$276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $270.05 / $503.62	Facility		$225.04	$270.05	$503.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $206.76 / $220.54	Professional		$191.93	$206.76	$220.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $318.00	Professional		$103.66	$142.00	$318.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.40 / $241.40 / $289.68	Facility		$179.40	$241.40	$289.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $215.77 / $215.77	Professional		$215.77	$215.77	$215.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,518.98 / $2,518.98 / $2,518.98	Facility		$2,518.98	$2,518.98	$2,518.98
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 $104.96 / $137.54 / $215.77	Professional		$104.96	$137.54	$215.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $460.64 / $1,281.52 / $1,281.52	Facility		$460.64	$1,281.52	$1,281.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.26 / $2,007.15 / $2,007.15	Professional		$1,380.26	$2,007.15	$2,007.15