Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $449.35 / $5,449.00	Facility		$130.78	$449.35	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $130.78 / $282.48	Professional		$107.15	$130.78	$282.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $183.92 / $183.92	Professional		$183.92	$183.92	$183.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.33 / $278.33 / $282.41	Facility		$278.33	$278.33	$282.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $216.58 / $325.29	Professional		$143.91	$216.58	$325.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $187.03 / $334.08	Professional		$142.78	$187.03	$334.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $159.91 / $232.38	Facility		$130.78	$159.91	$232.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $146.00 / $171.00	Professional		$146.00	$146.00	$171.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $190.24 / $200.48	Professional		$175.40	$190.24	$200.48
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 $110.23 / $160.93 / $324.76	Professional		$110.23	$160.93	$324.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $638.27 / $731.30	Facility		$55.00	$638.27	$731.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $959.60 / $1,136.93 / $1,136.93	Professional		$959.60	$1,136.93	$1,136.93