Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $776.00 / $4,311.00	Facility		$46.54	$776.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $111.72 / $249.87	Professional		$45.90	$111.72	$249.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $110.79 / $110.79	Professional		$110.79	$110.79	$110.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $107.46 / $182.36	Facility		$97.70	$107.46	$182.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $158.35 / $309.54	Professional		$67.72	$158.35	$309.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $161.71 / $475.00	Facility		$93.03	$161.71	$475.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $113.27 / $269.22	Professional		$47.12	$113.27	$269.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $107.53 / $187.22	Facility		$46.54	$107.53	$187.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $134.22 / $308.89	Professional		$107.80	$134.22	$308.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $87.00 / $277.60	Professional		$68.30	$87.00	$277.60
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $134.91 / $294.72	Professional		$91.08	$134.91	$294.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $275.80 / $275.80 / $1,300.00	Facility		$275.80	$275.80	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $490.29 / $927.20 / $1,093.43	Professional		$490.29	$927.20	$1,093.43