Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $950.22 / $5,142.93	Facility		$87.45	$950.22	$5,142.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $87.45 / $190.64	Professional		$63.03	$87.45	$190.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $77.22 / $117.51	Professional		$77.22	$77.22	$117.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $94.29 / $174.98	Professional		$68.16	$94.29	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $94.88 / $187.41	Professional		$69.77	$94.88	$187.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $91.25 / $129.53	Facility		$73.00	$91.25	$129.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $100.77 / $100.77	Professional		$100.77	$100.77	$100.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $93.35 / $144.85	Professional		$65.51	$93.35	$144.85
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 $65.95 / $85.50 / $211.89	Professional		$65.95	$85.50	$211.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $11,500.00	Facility		$402.09	$402.09	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $563.44 / $673.20 / $778.65	Professional		$563.44	$673.20	$778.65