Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.05 / $178.05 / $178.05	Facility		$178.05	$178.05	$178.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $178.05 / $252.00	Professional		$96.56	$178.05	$252.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $152.51 / $203.34	Professional		$128.10	$152.51	$203.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $199.16 / $371.46	Facility		$165.97	$199.16	$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 $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $292.97	Professional		$92.76	$92.76	$292.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $178.05 / $213.66	Facility		$132.06	$178.05	$213.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $159.13 / $159.13	Professional		$159.13	$159.13	$159.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $236.80 / $236.80	Professional		$236.80	$236.80	$236.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $101.44 / $150.53	Professional		$74.95	$101.44	$150.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $939.42 / $939.42	Facility		$339.68	$939.42	$939.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,479.83 / $1,479.83	Professional		$1,006.48	$1,479.83	$1,479.83