Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $4,148.00 / $6,953.60	Facility		$168.71	$4,148.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $168.71 / $350.30	Professional		$111.97	$168.71	$350.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $86.52 / $282.87	Professional		$74.69	$86.52	$282.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $160.26 / $339.55	Professional		$129.31	$160.26	$339.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $184.11 / $362.86	Professional		$133.78	$184.11	$362.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $173.00 / $245.48	Facility		$127.98	$173.00	$245.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $196.00	Professional		$196.00	$196.00	$196.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $173.69 / $272.60	Professional		$113.66	$173.69	$272.60
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 $131.76 / $164.82 / $409.73	Professional		$131.76	$164.82	$409.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $922.68 / $922.68 / $11,500.00	Facility		$922.68	$922.68	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $974.40 / $1,251.20 / $1,454.85	Professional		$974.40	$1,251.20	$1,454.85