Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $512.86	Facility		$144.54	$234.42	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $257.04	Professional		$81.28	$131.83	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $144.54 / $173.78	Professional		$54.95	$144.54	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $380.19	Facility		$181.97	$281.84	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $158.49	Professional		$144.54	$147.91	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $107.15 / $107.15	Facility		$24.55	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $223.87	Professional		$77.62	$77.62	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $125.89	Professional		$89.13	$95.50	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $281.84	Facility		$81.28	$169.82	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $186.21 / $199.53	Professional		$0.60	$186.21	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $154.88	Facility		$57.54	$85.11	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $134.90	Professional		$70.79	$95.50	$134.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,412.54	Professional		$954.99	$954.99	$1,412.54