Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $1,615.00 / $7,694.09	Facility		$105.79	$1,615.00	$7,694.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $156.21 / $331.17	Professional		$94.52	$156.21	$331.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $96.90 / $147.69	Professional		$66.13	$96.90	$147.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $156.97 / $315.55	Professional		$109.90	$156.97	$315.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $163.47 / $326.47	Professional		$115.05	$163.47	$326.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $156.21 / $227.49	Facility		$105.79	$156.21	$227.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $182.60 / $182.60	Professional		$182.60	$182.60	$182.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $151.97 / $250.26	Professional		$93.77	$151.97	$250.26
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 $125.75 / $153.75 / $402.83	Professional		$125.75	$153.75	$402.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $560.50 / $560.50 / $11,500.00	Facility		$560.50	$560.50	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $801.28 / $1,152.00 / $1,335.15	Professional		$801.28	$1,152.00	$1,335.15