Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.47 / $2,993.45 / $5,999.60	Facility		$165.47	$2,993.45	$5,999.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $177.71 / $712.33	Professional		$68.48	$177.71	$712.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $126.30 / $173.41	Professional		$71.83	$126.30	$173.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $292.29 / $547.74	Professional		$121.56	$292.29	$547.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $606.10	Facility		$119.71	$119.71	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $198.78 / $435.28	Professional		$91.07	$198.78	$435.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $182.02 / $294.19	Facility		$68.48	$182.02	$294.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $25.40 / $58.19 / $76.80	Facility	80	$25.40	$58.19	$76.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $290.93 / $608.92	Professional		$217.00	$290.93	$608.92
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $58.19 / $58.19 / $121.79	Professional	80	$58.19	$58.19	$121.79
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $40.72 / $40.72 / $85.25	Professional	AS	$40.72	$40.72	$85.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $185.10 / $352.64	Professional		$123.92	$185.10	$352.64
United Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $755.00 / $1,741.00	Facility		$193.00	$755.00	$1,741.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $289.16 / $455.76	Professional		$182.34	$289.16	$455.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $326.27 / $326.27	Facility		$55.00	$326.27	$326.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $1,209.44 / $1,434.98	Professional		$654.29	$1,209.44	$1,434.98