Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $173.63 / $5,449.00	Facility		$106.19	$173.63	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $170.30 / $394.73	Professional		$94.55	$170.30	$394.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $153.38 / $293.36	Professional		$143.28	$153.38	$293.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $170.97 / $337.13	Professional		$112.85	$170.97	$337.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $169.78 / $357.68	Professional		$117.61	$169.78	$357.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $173.63 / $248.01	Facility		$106.19	$173.63	$248.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $208.99 / $208.99	Professional		$208.99	$208.99	$208.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $164.03 / $275.20	Professional		$97.82	$164.03	$275.20
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $171.33 / $421.69	Professional		$130.43	$171.33	$421.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $562.26 / $562.26	Facility		$55.00	$562.26	$562.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $811.68 / $1,291.28 / $1,492.43	Professional		$811.68	$1,291.28	$1,492.43