Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $857.20 / $4,311.00	Facility		$55.65	$857.20	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $39.59 / $78.00	Professional		$33.67	$39.59	$78.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $47.75 / $60.64	Professional		$46.33	$47.75	$60.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $67.92 / $103.51	Professional		$47.60	$67.92	$103.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $58.75 / $102.52	Professional		$42.73	$58.75	$102.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $55.48 / $148.00	Facility		$34.36	$55.48	$148.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $45.53 / $87.06	Professional		$45.53	$45.53	$87.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $73.90 / $121.30	Professional		$6.00	$73.90	$121.30
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $48.97 / $96.00	Professional		$34.01	$48.97	$96.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $221.20 / $1,315.00	Facility		$55.00	$221.20	$1,315.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $523.40 / $597.51 / $597.51	Professional		$523.40	$597.51	$597.51