Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $121.41 / $1,245.00	Facility		$49.75	$121.41	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $119.44 / $332.39	Professional		$49.75	$119.44	$332.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $102.47 / $160.38	Professional		$84.19	$102.47	$160.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $83.75 / $207.46	Professional		$49.81	$83.75	$207.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $95.32 / $227.51	Professional		$55.95	$95.32	$227.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $111.92 / $159.40	Facility		$49.75	$111.92	$159.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $111.92 / $111.92	Professional		$111.92	$111.92	$111.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $90.85 / $183.93	Professional		$40.32	$90.85	$183.93
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 $72.04 / $112.99 / $261.88	Professional		$72.04	$112.99	$261.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $253.75 / $253.75	Facility		$55.00	$253.75	$253.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $450.93 / $863.36 / $1,005.38	Professional		$450.93	$863.36	$1,005.38