Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $309.89 / $5,449.00	Facility		$132.26	$309.89	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $180.51 / $241.78	Professional		$125.13	$180.51	$241.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $174.41 / $174.41	Professional		$174.41	$174.41	$174.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $212.79 / $414.59	Professional		$139.99	$212.79	$414.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $207.74 / $424.75	Professional		$146.75	$207.74	$424.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $210.02 / $300.88	Facility		$132.26	$210.02	$300.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.90 / $251.90 / $251.90	Professional		$251.90	$251.90	$251.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $195.11 / $323.86	Professional		$120.46	$195.11	$323.86
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 $158.36 / $202.69 / $481.87	Professional		$158.36	$202.69	$481.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $946.38 / $946.38	Facility		$55.00	$946.38	$946.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,006.40 / $1,519.36 / $1,752.75	Professional		$1,006.40	$1,519.36	$1,752.75