Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $942.53 / $3,401.70	Facility		$61.05	$942.53	$3,401.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $59.28 / $125.67	Professional		$44.97	$59.28	$125.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $99.63 / $102.70	Professional		$80.56	$99.63	$102.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $110.27 / $169.84	Professional		$66.98	$110.27	$169.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $92.30 / $151.85	Professional		$64.17	$92.30	$151.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $69.47 / $114.05	Facility		$49.64	$69.47	$114.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $82.61 / $144.61	Professional		$82.61	$82.61	$144.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $78.39 / $94.78	Professional		$71.05	$78.39	$94.78
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $83.15 / $162.22	Professional		$58.87	$83.15	$162.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $240.40 / $240.40 / $240.40	Facility		$240.40	$240.40	$240.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $406.05 / $496.58	Professional		$362.00	$406.05	$496.58