Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $389.05 / $5,495.41	Facility		$173.78	$389.05	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $446.68	Professional		$112.20	$173.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $186.21	Professional		$75.86	$112.20	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $141.25 / $158.49	Facility		$123.03	$141.25	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $398.11	Professional		$128.82	$208.93	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $575.44	Facility		$117.49	$194.98	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $346.74	Professional		$125.89	$199.53	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $275.42	Facility		$112.20	$169.82	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $407.38	Professional		$154.88	$302.00	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,122.02 / $3,311.31	Facility		$251.19	$1,122.02	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $263.03	Professional		$104.71	$151.36	$263.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,659.59 / $1,659.59	Facility		$56.23	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,318.26	Professional		$1,148.15	$1,148.15	$1,318.26