Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.07 / $238.17 / $440.89	Facility		$83.07	$238.17	$440.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $83.20 / $162.88	Professional		$45.50	$83.20	$162.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $62.99 / $151.22	Professional		$53.54	$62.99	$151.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $106.61 / $201.83	Professional		$62.44	$106.61	$201.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.59 / $111.59 / $606.10	Facility		$111.59	$111.59	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $92.15 / $178.19	Professional		$55.85	$92.15	$178.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.48 / $90.51 / $134.00	Facility		$49.48	$90.51	$134.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $104.00 / $121.00	Professional		$90.51	$104.00	$121.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $110.92 / $163.38	Professional		$69.45	$110.92	$163.38
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 $69.58 / $100.03 / $236.63	Professional		$69.58	$100.03	$236.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $269.18 / $269.18	Facility		$55.00	$269.18	$269.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $674.40 / $799.05	Professional		$383.36	$674.40	$799.05