Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $230.72 / $5,449.00	Facility		$113.88	$230.72	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $164.44 / $278.64	Professional		$108.21	$164.44	$278.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $155.61 / $155.61	Professional		$155.61	$155.61	$155.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $174.47 / $352.37	Professional		$120.95	$174.47	$352.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $178.90 / $365.54	Professional		$126.65	$178.90	$365.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $181.16 / $256.25	Facility		$113.88	$181.16	$256.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $214.17 / $214.17	Professional		$214.17	$214.17	$214.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $168.30 / $278.19	Professional		$104.58	$168.30	$278.19
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 $134.87 / $173.30 / $458.08	Professional		$134.87	$173.30	$458.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $818.22 / $818.22	Facility		$55.00	$818.22	$818.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $869.52 / $1,306.16 / $1,508.33	Professional		$869.52	$1,306.16	$1,508.33