Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $190.55 / $4,466.84	Facility		$81.28	$190.55	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $316.23	Professional		$70.79	$131.83	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $169.82	Professional		$51.29	$104.71	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $239.88	Professional		$77.62	$125.89	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $239.88	Professional		$83.18	$134.90	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $169.82	Professional		$154.88	$154.88	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $173.78	Facility		$81.28	$117.49	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $199.53	Professional		$120.23	$131.83	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $4,265.80	Facility		$776.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $208.93	Professional		$67.61	$104.71	$208.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $13,489.63	Facility		$2,041.74	$2,041.74	$13,489.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Professional		$912.01	$912.01	$1,071.52