Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $157.10 / $5,449.00	Facility		$90.95	$157.10	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $128.87 / $166.08	Professional		$86.27	$128.87	$166.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $124.96 / $124.96	Professional		$124.96	$124.96	$124.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $156.97 / $290.22	Professional		$96.72	$156.97	$290.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $143.66 / $300.95	Professional		$99.43	$143.66	$300.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $144.26 / $216.27	Facility		$90.95	$144.26	$216.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.23 / $179.23 / $179.23	Professional		$179.23	$179.23	$179.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $138.84 / $232.94	Professional		$85.19	$138.84	$232.94
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 $113.09 / $144.29 / $339.94	Professional		$113.09	$144.29	$339.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $666.36 / $666.36	Facility		$55.00	$666.36	$666.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $706.24 / $1,088.00 / $1,264.05	Professional		$706.24	$1,088.00	$1,264.05