Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $177.83 / $363.08	Facility		$40.74	$177.83	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $107.15	Professional		$28.18	$51.29	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $75.86	Professional		$26.30	$37.15	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $100.00	Professional		$33.11	$57.54	$100.00
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 $32.36 / $50.12 / $89.13	Professional		$32.36	$50.12	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $93.33	Professional		$64.57	$64.57	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $74.13	Facility		$29.51	$43.65	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $87.10	Professional		$40.74	$63.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $724.44 / $1,949.84	Facility		$117.49	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $72.44	Professional		$26.30	$39.81	$72.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Professional		$309.03	$309.03	$363.08