Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $235.72 / $5,449.00	Facility		$44.69	$235.72	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $68.77 / $148.54	Professional		$44.25	$68.77	$148.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $60.60 / $117.59	Professional		$58.44	$60.60	$117.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $71.34 / $140.50	Professional		$46.45	$71.34	$140.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $71.36 / $143.74	Professional		$51.16	$71.36	$143.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $69.48 / $101.54	Facility		$44.69	$69.48	$101.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $65.25 / $109.47	Professional		$38.53	$65.25	$109.47
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $67.58 / $152.46	Professional		$54.21	$67.58	$152.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $223.54 / $223.54	Facility		$55.00	$223.54	$223.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $509.28 / $582.75	Professional		$330.32	$509.28	$582.75