Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $1,270.33 / $6,966.47	Facility		$79.59	$1,270.33	$6,966.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $124.55 / $256.57	Professional		$75.08	$124.55	$256.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $104.90 / $104.90	Professional		$48.77	$104.90	$104.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $128.43 / $243.44	Professional		$80.45	$128.43	$243.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $126.68 / $256.20	Professional		$86.60	$126.68	$256.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $124.55 / $180.74	Facility		$79.59	$124.55	$180.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $140.84 / $140.84	Professional		$140.84	$140.84	$140.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $117.71 / $197.49	Professional		$72.20	$117.71	$197.49
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 $97.20 / $120.07 / $274.22	Professional		$97.20	$120.07	$274.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $427.12 / $427.12 / $11,500.00	Facility		$427.12	$427.12	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $606.08 / $913.84 / $1,063.95	Professional		$606.08	$913.84	$1,063.95