Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.05 / $178.05 / $307.13	Facility		$178.05	$178.05	$307.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $178.05 / $178.05	Professional		$86.81	$178.05	$178.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $152.51 / $152.51	Professional		$152.51	$152.51	$152.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $195.63 / $371.46	Facility		$163.02	$195.63	$371.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $152.51 / $162.66	Professional		$141.57	$152.51	$162.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $234.38	Professional		$82.25	$112.67	$234.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $178.05 / $231.47	Facility		$58.07	$178.05	$231.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $138.24	Professional		$114.00	$114.00	$138.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $236.80 / $364.10	Professional		$236.80	$236.80	$364.10
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $100.54 / $147.09	Professional		$74.45	$100.54	$147.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $939.42 / $939.42	Facility		$317.70	$939.42	$939.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,479.83	Professional		$1,006.48	$1,006.48	$1,479.83