Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $251.19 / $501.19	Facility		$77.62	$251.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $239.88	Professional		$43.65	$97.72	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $67.61	Professional		$30.20	$39.81	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $213.80	Professional		$57.54	$123.03	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $177.83	Professional		$56.23	$97.72	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $190.55	Professional		$134.90	$134.90	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $147.91	Facility		$44.67	$85.11	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $186.21	Professional		$58.88	$131.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $724.44 / $1,949.84	Facility		$120.23	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $138.04	Professional		$41.69	$79.43	$138.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,698.24 / $1,698.24	Facility		$56.23	$1,698.24	$1,698.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $724.44	Professional		$616.60	$616.60	$724.44