Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.43 / $401.00 / $946.29	Facility		$97.43	$401.00	$946.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $123.89 / $224.62	Professional		$61.93	$123.89	$224.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $98.70 / $98.70	Professional		$81.06	$98.70	$98.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $201.99 / $315.95	Professional		$103.67	$201.99	$315.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $144.44 / $306.62	Professional		$74.89	$144.44	$306.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $144.44 / $797.00	Facility		$64.78	$144.44	$797.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $467.84	Professional		$135.00	$135.00	$467.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $125.08 / $239.44	Professional		$62.49	$125.08	$239.44
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $158.76 / $327.06	Professional		$105.22	$158.76	$327.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $766.65 / $766.65	Facility		$55.00	$766.65	$766.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,097.84 / $2,196.87 / $3,844.84	Professional		$1,097.84	$2,196.87	$3,844.84