Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $539.73 / $5,449.00	Facility		$155.97	$539.73	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $223.48 / $428.15	Professional		$130.26	$223.48	$428.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $101.68 / $165.21	Professional		$101.68	$101.68	$165.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $223.48 / $473.59	Professional		$156.65	$223.48	$473.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.96 / $238.50 / $496.89	Professional		$156.96	$238.50	$496.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $237.86 / $353.93	Facility		$155.97	$237.86	$353.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $292.52 / $292.52	Professional		$292.52	$292.52	$292.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $227.06 / $380.95	Professional		$130.13	$227.06	$380.95
United Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $874.00 / $2,229.00	Facility		$304.22	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $239.79 / $590.20	Professional		$186.28	$239.79	$590.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $821.04 / $821.04 / $11,500.00	Facility		$821.04	$821.04	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,179.44 / $1,771.20 / $2,053.19	Professional		$1,179.44	$1,771.20	$2,053.19