Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $104.78 / $1,615.00	Facility		$37.65	$104.78	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $84.14 / $210.23	Professional		$33.15	$84.14	$210.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $51.49 / $51.49	Professional		$51.49	$51.49	$51.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $64.16 / $159.51	Professional		$37.47	$64.16	$159.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $73.44 / $196.83	Professional		$41.87	$73.44	$196.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $83.10 / $130.97	Facility		$37.65	$83.10	$130.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $83.10 / $83.10	Professional		$83.10	$83.10	$83.10
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $124.65 / $124.65 / $124.65	Professional	50	$124.65	$124.65	$124.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $66.37 / $160.19	Professional		$31.60	$66.37	$160.19
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 $59.44 / $96.79 / $256.26	Professional		$59.44	$96.79	$256.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $180.31 / $180.31	Facility		$55.00	$180.31	$180.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $386.19 / $748.96 / $864.45	Professional		$386.19	$748.96	$864.45