Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $212.79 / $5,449.00	Facility		$83.23	$212.79	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $139.97 / $303.77	Professional		$81.59	$139.97	$303.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $148.21 / $192.48	Professional		$127.58	$148.21	$192.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $137.13 / $272.95	Professional		$89.51	$137.13	$272.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $133.74 / $296.75	Professional		$91.49	$133.74	$296.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $143.29 / $201.48	Facility		$83.23	$143.29	$201.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $171.23 / $171.23	Professional		$171.23	$171.23	$171.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $136.11 / $228.36	Professional		$78.08	$136.11	$228.36
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 $106.04 / $141.01 / $371.02	Professional		$106.04	$141.01	$371.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $449.45 / $449.45	Facility		$55.00	$449.45	$449.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $1,074.00 / $1,247.18	Professional		$644.55	$1,074.00	$1,247.18