Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $115.71 / $234.83	Facility		$115.71	$115.71	$234.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $115.71 / $115.71	Professional		$69.55	$115.71	$115.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $139.91 / $139.91	Professional		$139.91	$139.91	$139.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $149.58 / $283.99	Facility		$124.65	$149.58	$283.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $116.60 / $128.26	Professional		$108.23	$116.60	$128.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $179.25	Professional		$73.02	$100.03	$179.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $115.71 / $173.34	Facility		$44.49	$115.71	$173.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $109.06 / $109.06	Professional		$109.06	$109.06	$109.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $181.10 / $278.39	Professional		$181.10	$181.10	$278.39
United Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $77.56 / $112.46	Professional		$59.59	$77.56	$112.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $259.81 / $720.06 / $720.06	Facility		$259.81	$720.06	$720.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $778.52 / $1,131.90 / $1,131.90	Professional		$778.52	$1,131.90	$1,131.90