Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $5,248.07	Facility		$147.91	$275.42	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $363.08	Professional		$112.20	$162.18	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $288.40	Professional		$131.83	$147.91	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $363.08	Professional		$128.82	$194.98	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $363.08	Professional		$144.54	$186.21	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $251.19	Professional		$234.42	$234.42	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $239.88	Facility		$123.03	$165.96	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $263.03	Professional		$177.83	$194.98	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Facility		$363.08	$812.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $316.23	Professional		$112.20	$154.88	$316.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $19,498.45	Facility		$1,288.25	$1,288.25	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Professional		$1,202.26	$1,202.26	$1,412.54