Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.08 / $365.47 / $5,449.00	Facility		$164.08	$365.47	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $209.48 / $265.16	Professional		$155.75	$209.48	$265.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $172.75 / $172.75	Professional		$172.75	$172.75	$172.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.83 / $249.79 / $495.47	Professional		$173.83	$249.79	$495.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $255.20 / $509.36	Professional		$186.23	$255.20	$509.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.08 / $247.82 / $355.59	Facility		$164.08	$247.82	$355.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $300.08 / $300.08	Professional		$300.08	$300.08	$300.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $242.78 / $377.46	Professional		$148.41	$242.78	$377.46
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 $191.39 / $238.04 / $613.07	Professional		$191.39	$238.04	$613.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,174.26 / $1,174.26	Facility		$55.00	$1,174.26	$1,174.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,248.96 / $1,769.12 / $2,037.98	Professional		$1,248.96	$1,769.12	$2,037.98