Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $300.55 / $5,449.00	Facility		$93.04	$300.55	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $151.01 / $475.31	Professional		$93.04	$151.01	$475.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $100.44 / $234.18	Professional		$100.44	$100.44	$234.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $244.08 / $378.43	Professional		$137.94	$244.08	$378.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $515.00 / $750.00	Facility		$158.83	$515.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $200.00 / $383.96	Professional		$119.19	$200.00	$383.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $164.17 / $230.32	Facility		$93.04	$164.17	$230.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $186.45 / $355.84	Professional		$35.00	$186.45	$355.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $211.81 / $319.80	Professional		$132.96	$211.81	$319.80
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $124.00 / $1,251.00	Facility		$54.00	$124.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $171.79 / $380.12	Professional		$126.08	$171.79	$380.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $532.90 / $532.90	Facility		$55.00	$532.90	$532.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $678.96 / $1,072.64 / $1,247.33	Professional		$678.96	$1,072.64	$1,247.33