Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $4,148.00 / $6,915.00	Facility		$132.49	$4,148.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $110.41 / $257.39	Professional		$101.92	$110.41	$257.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $156.43 / $156.43	Professional		$156.43	$156.43	$156.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $202.23 / $331.78	Professional		$138.01	$202.23	$331.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $193.04 / $316.27	Professional		$142.90	$193.04	$316.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $128.22 / $215.30	Facility		$108.22	$128.22	$215.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $128.22 / $279.56	Professional		$128.22	$128.22	$279.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.10 / $283.10 / $283.10	Professional		$283.10	$283.10	$283.10
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 $112.50 / $160.46 / $307.24	Professional		$112.50	$160.46	$307.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $537.24 / $4,493.00	Facility		$55.00	$537.24	$4,493.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $813.45 / $813.45	Professional		$703.68	$813.45	$813.45