Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.93 / $1,567.12 / $5,177.00	Facility		$167.93	$1,567.12	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $167.93 / $366.09	Professional		$93.17	$167.93	$366.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $81.31 / $142.41	Professional		$71.15	$81.31	$142.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $151.72 / $328.33	Professional		$112.44	$151.72	$328.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $173.95 / $345.96	Professional		$117.89	$173.95	$345.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $167.93 / $241.77	Facility		$112.05	$167.93	$241.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $191.60 / $191.60	Professional		$191.60	$191.60	$191.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $160.94 / $268.83	Professional		$97.06	$160.94	$268.83
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $162.03 / $394.78	Professional		$122.02	$162.03	$394.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $596.13 / $596.13 / $11,500.00	Facility		$596.13	$596.13	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $846.32 / $1,240.00 / $1,445.48	Professional		$846.32	$1,240.00	$1,445.48