Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $409.22 / $866.00	Facility		$72.41	$409.22	$866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $119.84 / $231.88	Professional		$67.18	$119.84	$231.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $101.42 / $105.44	Professional		$101.42	$101.42	$105.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $139.09 / $263.20	Professional		$75.23	$139.09	$263.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $130.07 / $248.12	Professional		$80.23	$130.07	$248.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $131.82 / $186.80	Facility		$67.18	$131.82	$186.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $157.68 / $157.68	Professional		$157.68	$157.68	$157.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $70.53 / $125.04	Professional		$59.22	$70.53	$125.04
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 $102.50 / $127.96 / $282.89	Professional		$102.50	$127.96	$282.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $343.05 / $343.05	Facility		$55.00	$343.05	$343.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $506.16 / $883.12 / $1,020.90	Professional		$506.16	$883.12	$1,020.90