Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $186.94 / $3,707.00	Facility		$70.42	$186.94	$3,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $108.69 / $329.33	Professional		$67.15	$108.69	$329.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $101.30 / $101.30	Professional		$101.30	$101.30	$101.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $124.52 / $222.66	Professional		$74.34	$124.52	$222.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $113.95 / $245.99	Professional		$81.83	$113.95	$245.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $114.42 / $167.54	Facility		$70.42	$114.42	$167.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $130.03 / $400.00	Professional		$130.03	$130.03	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $105.22 / $180.82	Professional		$56.53	$105.22	$180.82
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $117.13 / $288.29	Professional		$88.18	$117.13	$288.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $348.13 / $348.13 / $12,000.00	Facility		$348.13	$348.13	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $830.32 / $974.93	Professional		$512.96	$830.32	$974.93