Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $954.99 / $5,495.41	Facility		$100.00	$954.99	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $239.88	Professional		$66.07	$107.15	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $154.88	Professional		$60.26	$100.00	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $173.78	Professional		$67.61	$95.50	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $186.21	Professional		$72.44	$100.00	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $123.03	Facility		$69.18	$91.20	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $144.54	Professional		$109.65	$120.23	$144.54
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 $58.88 / $79.43 / $162.18	Professional		$58.88	$79.43	$162.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $13,489.63	Facility		$1,995.26	$1,995.26	$13,489.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Professional		$676.08	$676.08	$776.25