Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $139.79 / $1,615.00	Facility		$50.74	$139.79	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $93.81 / $220.68	Professional		$50.74	$93.81	$220.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $104.56 / $108.81	Professional		$104.56	$104.56	$108.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $98.80 / $227.86	Professional		$75.73	$98.80	$227.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $109.18 / $219.81	Professional		$70.48	$109.18	$219.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $112.72 / $150.65	Facility		$50.74	$112.72	$150.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.47 / $124.47 / $124.47	Professional		$124.47	$124.47	$124.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $89.73 / $173.65	Professional		$40.85	$89.73	$173.65
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $103.60 / $244.77	Professional		$79.83	$103.60	$244.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $257.20 / $257.20	Facility		$55.00	$257.20	$257.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $837.36 / $973.95	Professional		$437.39	$837.36	$973.95