Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $891.25 / $6,760.83	Facility		$117.49	$891.25	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $457.09	Professional		$70.79	$173.78	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $125.89	Professional		$54.95	$104.71	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $398.11 / $446.68	Facility		$346.74	$398.11	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $446.68	Professional		$104.71	$186.21	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $588.84 / $851.14	Facility		$123.03	$588.84	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $426.58	Professional		$85.11	$208.93	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $177.83 / $338.84	Facility		$72.44	$177.83	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $295.12 / $467.74	Professional		$102.33	$295.12	$467.74
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 $69.18 / $158.49 / $288.40	Professional		$69.18	$158.49	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,884.03 / $2,884.03	Facility		$56.23	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Professional		$1,479.11	$1,479.11	$1,737.80