Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $371.20 / $1,005.15	Facility		$40.85	$371.20	$1,005.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $43.66 / $105.66	Professional		$25.86	$43.66	$105.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $59.68 / $59.68	Professional		$59.68	$59.68	$59.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $95.23 / $156.87	Professional		$42.01	$95.23	$156.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $65.13 / $120.01	Professional		$32.95	$65.13	$120.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $59.77 / $111.60	Facility		$25.35	$59.77	$111.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $77.70 / $112.06	Professional		$77.70	$77.70	$112.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $34.20 / $121.70	Professional		$3.00	$34.20	$121.70
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $81.72 / $129.18	Professional		$46.19	$81.72	$129.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $121.27 / $121.27	Facility		$55.00	$121.27	$121.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $440.80 / $440.80	Professional		$263.00	$440.80	$440.80