Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.10 / $336.69 / $4,311.00	Facility		$99.10	$336.69	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $99.10 / $216.04	Professional		$53.50	$99.10	$216.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $166.64 / $166.64	Professional		$140.96	$166.64	$166.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $209.62 / $355.96	Professional		$95.78	$209.62	$355.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $150.46 / $259.55	Professional		$79.58	$150.46	$259.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $131.94 / $248.98	Facility		$53.50	$131.94	$248.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $171.37 / $243.66	Professional		$171.37	$171.37	$243.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $136.40 / $340.70	Professional		$3.00	$136.40	$340.70
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 $101.05 / $154.16 / $284.64	Professional		$101.05	$154.16	$284.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $267.05 / $267.05	Facility		$55.00	$267.05	$267.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $397.52 / $724.40 / $846.83	Professional		$397.52	$724.40	$846.83