Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $131.66 / $3,670.53	Facility		$53.48	$131.66	$3,670.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $96.99 / $256.11	Professional		$38.79	$96.99	$256.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $149.08 / $183.65	Professional		$54.73	$149.08	$183.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $123.82 / $228.96	Professional		$55.92	$123.82	$228.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $69.44 / $606.10	Facility		$50.00	$69.44	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $100.45 / $239.75	Professional		$44.08	$100.45	$239.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $97.87 / $154.60	Facility		$39.57	$97.87	$154.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $111.00 / $259.13	Professional		$30.53	$111.00	$259.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $64.41 / $262.60	Professional		$53.00	$64.41	$262.60
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $106.10 / $250.40	Professional		$74.84	$106.10	$250.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $237.05 / $1,300.00	Facility		$55.00	$237.05	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $820.40 / $966.30	Professional		$429.56	$820.40	$966.30