Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $342.22 / $5,449.00	Facility		$96.24	$342.22	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $129.96 / $345.97	Professional		$92.73	$129.96	$345.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $127.49 / $141.12	Professional		$127.49	$127.49	$141.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $110.56	Facility		$108.97	$108.97	$110.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $222.69 / $328.24	Professional		$122.89	$222.69	$328.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.46 / $140.46 / $606.10	Facility		$140.46	$140.46	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $167.00 / $296.50	Professional		$116.31	$167.00	$296.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $158.00 / $237.71	Facility		$96.76	$158.00	$237.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $169.00 / $179.00	Professional		$158.00	$169.00	$179.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $181.35 / $242.96	Professional		$140.04	$181.35	$242.96
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 $113.53 / $167.30 / $363.83	Professional		$113.53	$167.30	$363.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $500.41 / $500.41	Facility		$55.00	$500.41	$500.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $999.76 / $1,185.83	Professional		$718.24	$999.76	$1,185.83