Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $558.63 / $3,825.82	Facility		$94.31	$558.63	$3,825.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $92.33 / $193.77	Professional		$49.29	$92.33	$193.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.83 / $153.83 / $153.83	Professional		$153.83	$153.83	$153.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $184.68 / $286.58	Professional		$90.63	$184.68	$286.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $138.19 / $211.15	Professional		$74.17	$138.19	$211.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $121.67 / $228.47	Facility		$50.00	$121.67	$228.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $147.27 / $236.08	Professional		$147.27	$147.27	$236.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $164.90 / $256.30	Professional		$4.00	$164.90	$256.30
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 $92.54 / $135.83 / $286.69	Professional		$92.54	$135.83	$286.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $257.69 / $257.69	Facility		$55.00	$257.69	$257.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $728.37 / $821.03	Professional		$588.00	$728.37	$821.03