Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $229.66 / $903.00	Facility		$62.44	$229.66	$903.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $64.31 / $138.13	Professional		$52.15	$64.31	$138.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $86.35 / $111.34	Professional		$48.30	$86.35	$111.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $69.56 / $158.11	Professional		$53.30	$69.56	$158.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $74.59 / $141.12	Professional		$53.19	$74.59	$141.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $71.68 / $104.26	Facility		$52.96	$71.68	$104.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $95.98 / $95.98	Professional		$95.98	$95.98	$95.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $69.03 / $105.28	Professional		$49.82	$69.03	$105.28
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 $53.42 / $68.95 / $154.25	Professional		$53.42	$68.95	$154.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $286.43 / $286.43	Facility		$55.00	$286.43	$286.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $495.76 / $570.90	Professional		$402.72	$495.76	$570.90