Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.87 / $202.66 / $5,449.00	Facility		$117.87	$202.66	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $178.59 / $318.02	Professional		$117.87	$178.59	$318.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.72 / $193.50 / $238.42	Professional		$160.72	$193.50	$238.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $201.61 / $372.38	Professional		$124.75	$201.61	$372.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $188.95 / $388.21	Professional		$130.41	$188.95	$388.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.87 / $189.99 / $275.69	Facility		$117.87	$189.99	$275.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $230.69 / $230.69	Professional		$230.69	$230.69	$230.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $178.00 / $298.64	Professional		$107.70	$178.00	$298.64
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 $144.16 / $186.44 / $410.17	Professional		$144.16	$186.44	$410.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $620.02 / $620.02	Facility		$55.00	$620.02	$620.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $897.20 / $1,400.56 / $1,616.93	Professional		$897.20	$1,400.56	$1,616.93