Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.93 / $130.93 / $510.87	Facility		$130.93	$130.93	$510.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $130.93 / $130.93	Professional		$51.37	$130.93	$130.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $85.75 / $131.93	Professional		$85.75	$85.75	$131.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $169.27 / $321.35	Facility		$141.06	$169.27	$321.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $131.93 / $140.72	Professional		$118.73	$131.93	$140.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $128.85 / $128.85	Facility		$93.60	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $126.59 / $168.00	Professional		$109.52	$126.59	$168.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $130.93 / $198.12	Facility		$46.70	$130.93	$198.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $124.00	Professional		$98.00	$98.00	$124.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $267.50	Professional		$174.00	$174.00	$267.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $87.76 / $127.25	Professional		$67.43	$87.76	$127.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $289.97 / $720.02 / $720.02	Facility		$289.97	$720.02	$720.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $763.57 / $763.57 / $1,087.43	Professional		$763.57	$763.57	$1,087.43