Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $178.17 / $500.63	Facility		$89.65	$178.17	$500.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $290.20 / $356.34	Professional		$141.88	$290.20	$356.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $248.57 / $346.86	Professional		$248.57	$248.57	$346.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.72 / $318.86 / $605.44	Facility		$265.72	$318.86	$605.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $248.57 / $265.14	Professional		$223.72	$248.57	$265.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $205.01	Facility		$184.69	$194.92	$205.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $361.50	Professional		$142.29	$194.92	$361.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $290.20 / $377.27	Facility		$100.47	$290.20	$377.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $220.82	Professional		$186.00	$186.00	$220.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.66 / $388.30 / $597.10	Professional		$323.66	$388.30	$597.10
United Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $163.87 / $238.14	Professional		$126.18	$163.87	$238.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $519.54 / $1,728.76 / $1,728.76	Facility		$519.54	$1,728.76	$1,728.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,058.80 / $2,058.80 / $2,427.15	Professional		$2,058.80	$2,058.80	$2,427.15