Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $287.39 / $987.13	Facility		$99.32	$287.39	$987.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $89.73 / $174.34	Professional		$36.38	$89.73	$174.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $98.00 / $157.03	Professional		$52.91	$98.00	$157.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $109.04 / $228.52	Professional		$43.04	$109.04	$228.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $109.24 / $193.15	Professional		$44.57	$109.24	$193.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $103.69 / $132.75	Facility		$36.71	$103.69	$132.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $132.75 / $132.75	Professional		$132.75	$132.75	$132.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $66.30 / $150.94	Professional		$31.78	$66.30	$150.94
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 $81.99 / $98.92 / $226.95	Professional		$81.99	$98.92	$226.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $185.39 / $185.39	Facility		$55.00	$185.39	$185.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $712.72 / $828.23	Professional		$355.82	$712.72	$828.23