Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $304.68 / $5,449.00	Facility		$131.59	$304.68	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $187.92 / $320.04	Professional		$124.88	$187.92	$320.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $164.38 / $177.94	Professional		$85.69	$164.38	$177.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $200.95 / $408.39	Professional		$139.30	$200.95	$408.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $208.22 / $417.99	Professional		$147.55	$208.22	$417.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $208.98 / $295.23	Facility		$131.59	$208.98	$295.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $248.14 / $248.14	Professional		$248.14	$248.14	$248.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $194.14 / $318.07	Professional		$119.76	$194.14	$318.07
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 $156.22 / $199.31 / $447.50	Professional		$156.22	$199.31	$447.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $941.76 / $941.76	Facility		$55.00	$941.76	$941.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,001.44 / $1,492.88 / $1,721.93	Professional		$1,001.44	$1,492.88	$1,721.93