Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $246.65 / $7,278.00	Facility		$122.19	$246.65	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $171.93 / $218.73	Professional		$108.12	$171.93	$218.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $87.36 / $87.36	Professional		$87.36	$87.36	$87.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $181.30 / $369.28	Professional		$122.79	$181.30	$369.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $192.56 / $413.69	Professional		$120.29	$192.56	$413.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $198.30 / $298.00	Facility		$122.19	$198.30	$298.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.76 / $230.76 / $230.76	Professional		$230.76	$230.76	$230.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $184.64 / $317.55	Professional		$105.15	$184.64	$317.55
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 $154.05 / $195.69 / $439.98	Professional		$154.05	$195.69	$439.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $873.48 / $873.48 / $11,500.00	Facility		$873.48	$873.48	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $923.76 / $1,462.96 / $1,706.70	Professional		$923.76	$1,462.96	$1,706.70