Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $7,585.78	Facility		$173.78	$467.74	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $467.74	Professional		$107.15	$169.82	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Professional		$154.88	$154.88	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $354.81	Professional		$117.49	$173.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $363.08	Professional		$125.89	$181.97	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $263.03	Professional		$223.87	$223.87	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $251.19	Facility		$114.82	$169.82	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $281.84	Professional		$169.82	$186.21	$281.84
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 $104.71 / $154.88 / $295.12	Professional		$104.71	$154.88	$295.12
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 $1,318.26 / $1,318.26 / $1,513.56	Professional		$1,318.26	$1,318.26	$1,513.56