Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $5,370.32	Facility		$125.89	$316.23	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $380.19	Professional		$83.18	$158.49	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $323.59	Professional		$87.10	$100.00	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $426.58	Professional		$144.54	$245.47	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $354.81	Professional		$112.20	$208.93	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $371.54	Professional		$295.12	$295.12	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $302.00	Facility		$93.33	$173.78	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $275.42	Professional		$131.83	$147.91	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $1,949.84	Facility		$302.00	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $302.00	Professional		$91.20	$165.96	$302.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Professional		$1,380.38	$1,380.38	$1,513.56