Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $5,495.41	Facility		$138.04	$257.04	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $446.68	Professional		$109.65	$181.97	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $338.84	Professional		$79.43	$234.42	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $371.54	Professional		$120.23	$186.21	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $380.19	Professional		$128.82	$190.55	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Professional		$229.09	$229.09	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $263.03	Facility		$117.49	$177.83	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $295.12	Professional		$173.78	$190.55	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $309.03	Professional		$109.65	$162.18	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,890.45 / $3,890.45	Facility		$56.23	$3,890.45	$3,890.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Professional		$1,380.38	$1,380.38	$1,584.89