Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $469.53 / $5,449.00	Facility		$94.17	$469.53	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $160.84 / $288.27	Professional		$94.17	$160.84	$288.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $208.95 / $253.57	Professional		$143.25	$208.95	$253.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $198.32 / $365.77	Professional		$132.96	$198.32	$365.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $199.99 / $331.03	Professional		$119.03	$199.99	$331.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $189.57 / $260.29	Facility		$94.17	$189.57	$260.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $211.57 / $211.57	Professional		$211.57	$211.57	$211.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $153.16 / $256.98	Professional		$86.91	$153.16	$256.98
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 $129.34 / $158.16 / $387.82	Professional		$129.34	$158.16	$387.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $502.31 / $502.31	Facility		$55.00	$502.31	$502.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $1,242.41 / $1,399.80	Professional		$720.56	$1,242.41	$1,399.80