Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $239.96 / $407.52	Facility		$68.12	$239.96	$407.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $90.11 / $211.32	Professional		$59.52	$90.11	$211.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $225.12 / $225.12 / $228.26	Professional	50	$225.12	$225.12	$228.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $105.85 / $165.46	Professional		$91.92	$105.85	$165.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $81.13 / $82.31	Facility		$81.13	$81.13	$82.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $138.50 / $213.92	Professional		$74.62	$138.50	$213.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $101.04 / $606.10	Facility		$101.04	$101.04	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $106.77 / $184.62	Professional		$69.91	$106.77	$184.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $102.23 / $154.19	Facility		$60.71	$102.23	$154.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $108.00 / $117.00	Professional		$102.23	$108.00	$117.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $153.35 / $153.35 / $153.35	Professional	50	$153.35	$153.35	$153.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $121.00 / $156.12	Professional		$90.69	$121.00	$156.12
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 $70.84 / $102.24 / $228.14	Professional		$70.84	$102.24	$228.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $323.70 / $323.70	Facility		$55.00	$323.70	$323.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $653.60 / $778.05	Professional		$457.92	$653.60	$778.05