Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $155.91 / $5,449.00	Facility		$60.54	$155.91	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $140.28 / $202.94	Professional		$60.54	$140.28	$202.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $267.22 / $1,079.13	Professional		$104.00	$267.22	$1,079.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $166.01 / $371.34	Professional		$73.12	$166.01	$371.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $177.49 / $652.00	Facility		$65.58	$177.49	$652.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $573.79	Professional		$171.00	$171.00	$573.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $189.90 / $486.50	Professional		$27.40	$189.90	$486.50
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $188.86 / $419.24	Professional		$126.74	$188.86	$419.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $610.19 / $610.19	Facility		$55.00	$610.19	$610.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $701.16 / $1,903.64 / $3,063.36	Professional		$701.16	$1,903.64	$3,063.36