Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $169.82	Professional		$144.54	$144.54	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $446.68	Facility		$208.93	$331.13	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Professional		$169.82	$169.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $263.03	Professional		$91.20	$91.20	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $144.54	Professional		$104.71	$112.20	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $323.59	Facility		$91.20	$194.98	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $218.78 / $229.09	Professional		$0.60	$218.78	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $177.83	Facility		$67.61	$100.00	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $158.49	Professional		$83.18	$112.20	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,584.89	Professional		$1,230.27	$1,584.89	$1,584.89