Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $169.82 / $6,165.95	Facility		$85.11	$169.82	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $371.54	Professional		$48.98	$128.82	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $199.53	Professional		$85.11	$109.65	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $194.98	Professional		$50.12	$79.43	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $213.80	Professional		$56.23	$97.72	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $120.23	Professional		$104.71	$104.71	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $162.18	Facility		$50.12	$93.33	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $190.55	Professional		$72.44	$79.43	$190.55
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 $44.67 / $83.18 / $165.96	Professional		$44.67	$83.18	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,187.76 / $2,187.76	Facility		$56.23	$2,187.76	$2,187.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,000.00	Professional		$870.96	$870.96	$1,000.00