Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $129.66 / $1,245.00	Facility		$48.30	$129.66	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $104.93 / $259.70	Professional		$48.29	$104.93	$259.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $102.82	Professional		$102.82	$102.82	$102.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $87.34 / $212.10	Professional		$54.65	$87.34	$212.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $100.01 / $229.30	Professional		$58.56	$100.01	$229.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $115.19 / $161.03	Facility		$48.30	$115.19	$161.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $115.19 / $115.19	Professional		$115.19	$115.19	$115.19
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $172.79 / $172.79 / $172.79	Professional	50	$172.79	$172.79	$172.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $86.27 / $186.77	Professional		$39.34	$86.27	$186.77
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 $79.12 / $116.31 / $266.08	Professional		$79.12	$116.31	$266.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $237.41 / $237.41	Facility		$55.00	$237.41	$237.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $871.60 / $1,007.18	Professional		$450.86	$871.60	$1,007.18