Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $263.35 / $861.01	Facility		$50.72	$263.35	$861.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $85.30 / $198.34	Professional		$32.59	$85.30	$198.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $63.71 / $63.71	Professional		$63.71	$63.71	$63.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $80.52 / $154.61	Professional		$36.17	$80.52	$154.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $77.70 / $163.35	Professional		$38.50	$77.70	$163.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $86.97 / $113.82	Facility		$36.22	$86.97	$113.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $88.77 / $88.77	Professional		$88.77	$88.77	$88.77
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $133.16 / $133.16 / $133.16	Professional	50	$133.16	$133.16	$133.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $65.97 / $134.99	Professional		$34.45	$65.97	$134.99
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 $62.16 / $78.61 / $182.72	Professional		$62.16	$78.61	$182.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $190.19 / $190.19	Facility		$55.00	$190.19	$190.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $319.19 / $608.16 / $714.53	Professional		$319.19	$608.16	$714.53