Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.27 / $114.27 / $231.93	Facility		$114.27	$114.27	$231.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $114.27 / $114.27	Professional		$71.19	$114.27	$114.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $115.16 / $115.16	Professional		$115.16	$115.16	$115.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $227.75 / $280.48	Facility		$139.88	$227.75	$280.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $115.16 / $115.16	Professional		$87.52	$115.16	$115.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $99.32 / $99.32	Facility		$94.98	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $178.13	Professional		$72.50	$99.32	$178.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $114.27 / $180.60	Facility		$49.45	$114.27	$180.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $108.00	Professional		$86.00	$86.00	$108.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $193.10 / $296.89	Professional		$193.10	$193.10	$296.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $76.59 / $120.17	Professional		$58.85	$76.59	$120.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $818.84 / $818.84	Facility		$290.69	$818.84	$818.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,019.46 / $1,019.46 / $1,206.75	Professional		$1,019.46	$1,019.46	$1,206.75