Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $467.74 / $5,128.61	Facility		$72.44	$467.74	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $144.54	Professional		$28.84	$63.10	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $93.33	Professional		$38.90	$53.70	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $109.65	Professional		$28.84	$56.23	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $104.71	Professional		$33.11	$56.23	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $70.79	Professional		$51.29	$51.29	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $79.43	Facility		$28.84	$47.86	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $89.13	Professional		$42.66	$46.77	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $85.11	Professional		$26.92	$45.71	$85.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,659.59 / $1,659.59	Facility		$56.23	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $478.63	Professional		$416.87	$416.87	$478.63