Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $243.21 / $4,311.00	Facility		$88.18	$243.21	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $118.45 / $349.28	Professional		$76.73	$118.45	$349.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $110.11 / $110.11	Professional		$104.28	$110.11	$110.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $143.25 / $252.40	Professional		$86.80	$143.25	$252.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $134.40 / $267.08	Professional		$93.58	$134.40	$267.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $125.00 / $188.21	Facility		$80.23	$125.00	$188.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $144.69 / $400.00	Professional		$144.69	$144.69	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $116.13 / $197.21	Professional		$64.33	$116.13	$197.21
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 $98.44 / $127.98 / $288.91	Professional		$98.44	$127.98	$288.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $399.57 / $399.57 / $12,000.00	Facility		$399.57	$399.57	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $589.84 / $904.80 / $1,056.08	Professional		$589.84	$904.80	$1,056.08