Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $588.84 / $5,495.41	Facility		$147.91	$588.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $467.74	Professional		$109.65	$208.93	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $389.05	Professional		$128.82	$194.98	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $457.09	Professional		$112.20	$229.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $478.63	Facility		$147.91	$245.47	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $426.58	Professional		$123.03	$218.78	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $331.13	Facility		$112.20	$194.98	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $457.09	Professional		$162.18	$302.00	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $295.12	Professional		$100.00	$162.18	$295.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Professional		$1,513.56	$1,513.56	$1,778.28