Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $177.85 / $1,615.00	Facility		$93.71	$177.85	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $150.83 / $262.32	Professional		$88.04	$150.83	$262.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $154.90 / $154.90	Professional		$154.90	$154.90	$154.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $175.66 / $327.90	Professional		$94.51	$175.66	$327.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $165.00 / $346.81	Professional		$105.64	$165.00	$346.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $177.85 / $249.77	Facility		$93.71	$177.85	$249.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $185.93 / $185.93	Professional		$185.93	$185.93	$185.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $150.00 / $279.94	Professional		$74.94	$150.00	$279.94
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 $123.62 / $177.58 / $383.17	Professional		$123.62	$177.58	$383.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $471.49 / $471.49	Facility		$55.00	$471.49	$471.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $695.92 / $1,299.52 / $1,504.88	Professional		$695.92	$1,299.52	$1,504.88