Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $138.04 / $199.53	Facility		$56.23	$138.04	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $239.88	Professional		$79.43	$128.82	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $208.93	Professional		$125.89	$147.91	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $380.19	Facility		$162.18	$194.98	$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 $117.49 / $120.23 / $120.23	Facility		$117.49	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $223.87	Professional		$89.13	$89.13	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $269.15	Facility		$87.10	$169.82	$269.15
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 $60.26 / $87.10 / $154.88	Facility		$60.26	$87.10	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $141.25	Professional		$70.79	$95.50	$141.25
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 / $1,412.54 / $1,412.54	Professional		$954.99	$1,412.54	$1,412.54