Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $7,585.78	Facility		$112.20	$158.49	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $251.19	Professional		$50.12	$112.20	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $162.18 / $208.93	Professional		$42.66	$162.18	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $213.80	Professional		$72.44	$97.72	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $213.80	Professional		$66.07	$112.20	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Professional		$100.00	$100.00	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $147.91	Facility		$51.29	$109.65	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $181.97	Professional		$74.13	$81.28	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $169.82	Professional		$53.70	$93.33	$169.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Professional		$831.76	$831.76	$977.24