Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $2,769.34 / $6,825.37	Facility		$165.97	$2,769.34	$6,825.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $155.02 / $342.68	Professional		$106.45	$155.02	$342.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $146.88 / $146.88	Professional		$146.88	$146.88	$146.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $178.33 / $341.61	Professional		$116.98	$178.33	$341.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $170.73 / $353.55	Professional		$127.86	$170.73	$353.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $165.97 / $234.78	Facility		$114.58	$165.97	$234.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $186.27 / $186.27	Professional		$186.27	$186.27	$186.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $164.76 / $265.49	Professional		$109.21	$164.76	$265.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $162.36 / $427.35	Professional		$123.25	$162.36	$427.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $607.29 / $607.29	Facility		$55.00	$607.29	$607.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $867.04 / $1,222.56 / $1,426.05	Professional		$867.04	$1,222.56	$1,426.05