Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $200.43 / $5,449.00	Facility		$116.86	$200.43	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $172.37 / $310.07	Professional		$111.03	$172.37	$310.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $156.86 / $162.61	Professional		$156.86	$156.86	$162.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $187.10 / $368.50	Professional		$123.71	$187.10	$368.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $184.38 / $383.85	Professional		$129.90	$184.38	$383.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $185.00 / $268.27	Facility		$116.86	$185.00	$268.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.51 / $225.51 / $225.51	Professional		$225.51	$225.51	$225.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $173.28 / $290.72	Professional		$106.62	$173.28	$290.72
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 $140.96 / $182.03 / $408.13	Professional		$140.96	$182.03	$408.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $836.76 / $836.76	Facility		$55.00	$836.76	$836.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $889.60 / $1,366.80 / $1,577.85	Professional		$889.60	$1,366.80	$1,577.85