Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.62 / $242.94 / $5,449.00	Facility		$100.62	$242.94	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $153.36 / $257.58	Professional		$95.84	$153.36	$257.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $223.79 / $223.79	Professional		$223.79	$223.79	$223.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $159.63 / $320.69	Professional		$107.68	$159.63	$320.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $161.88 / $333.56	Professional		$112.08	$161.88	$333.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.62 / $160.99 / $234.16	Facility		$100.62	$160.99	$234.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $196.78 / $196.78 / $196.78	Professional		$196.78	$196.78	$196.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $153.34 / $257.27	Professional		$93.60	$153.34	$257.27
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 $122.86 / $159.15 / $375.37	Professional		$122.86	$159.15	$375.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $729.00 / $729.00	Facility		$55.00	$729.00	$729.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $774.08 / $1,208.32 / $1,398.45	Professional		$774.08	$1,208.32	$1,398.45