Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $6,456.54	Facility		$81.28	$194.98	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $331.13	Professional		$47.86	$120.23	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $199.53	Professional		$104.71	$120.23	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $204.17	Professional		$54.95	$87.10	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $218.78	Professional		$57.54	$100.00	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $131.83	Professional		$114.82	$114.82	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $97.72 / $169.82	Facility		$47.86	$97.72	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $190.55	Professional		$69.18	$77.62	$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 $46.77 / $85.11 / $165.96	Professional		$46.77	$85.11	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,584.89 / $1,584.89	Facility		$56.23	$1,584.89	$1,584.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,000.00	Professional		$870.96	$870.96	$1,000.00