Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $195.20 / $4,311.00	Facility		$78.47	$195.20	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $128.57 / $277.70	Professional		$78.45	$128.57	$277.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.94 / $49.40 / $64.29	Professional	52	$36.94	$49.40	$64.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $113.66 / $219.54	Professional		$110.10	$113.66	$219.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $133.22 / $246.74	Professional		$79.87	$133.22	$246.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $122.60 / $265.62	Professional		$80.63	$122.60	$265.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $128.57 / $184.97	Facility		$78.47	$128.57	$184.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $156.13 / $156.13	Professional		$156.13	$156.13	$156.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.56 / $205.63	Professional		$77.23	$122.56	$205.63
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 $97.35 / $126.74 / $298.75	Professional		$97.35	$126.74	$298.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $437.43 / $437.43	Facility		$55.00	$437.43	$437.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.64 / $960.24 / $1,116.75	Professional		$616.64	$960.24	$1,116.75