Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $689.00 / $4,551.67	Facility		$48.49	$689.00	$4,551.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $133.96 / $280.97	Professional		$39.11	$133.96	$280.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $125.37 / $125.37	Professional		$125.37	$125.37	$125.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $219.79 / $377.42	Professional		$73.88	$219.79	$377.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $172.25 / $383.88	Professional		$50.87	$172.25	$383.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $173.96 / $275.31	Facility		$39.11	$173.96	$275.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $221.00 / $633.22	Professional		$127.89	$221.00	$633.22
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $288.48 / $288.48 / $949.83	Professional	50	$288.48	$288.48	$949.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.00 / $484.90	Professional		$3.00	$168.00	$484.90
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $201.77 / $417.31	Professional		$140.28	$201.77	$417.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $194.42 / $194.42	Facility		$55.00	$194.42	$194.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $652.76 / $1,232.96 / $1,449.83	Professional		$652.76	$1,232.96	$1,449.83