Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $573.00 / $4,311.00	Facility		$60.30	$573.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $65.97 / $155.00	Professional		$40.22	$65.97	$155.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $80.59 / $82.28	Professional		$56.85	$80.59	$82.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $87.57 / $144.80	Professional		$53.16	$87.57	$144.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $395.75	Facility		$64.95	$64.95	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $75.19 / $133.88	Professional		$49.60	$75.19	$133.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $71.19 / $101.77	Facility		$40.22	$71.19	$101.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $75.00 / $84.00	Professional		$71.19	$75.00	$84.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $64.38 / $105.08	Professional		$37.97	$64.38	$105.08
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $73.58 / $166.42	Professional		$51.23	$73.58	$166.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $203.40 / $203.40	Facility		$55.00	$203.40	$203.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $593.10 / $593.10	Professional		$298.64	$593.10	$593.10