Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.59 / $810.81 / $5,177.00	Facility		$87.59	$810.81	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $95.19 / $217.03	Professional		$58.25	$95.19	$217.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $82.43 / $82.43	Professional		$82.43	$82.43	$82.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $132.43 / $216.65	Professional		$89.33	$132.43	$216.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $118.61 / $202.75	Professional		$75.03	$118.61	$202.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.26 / $112.00 / $170.62	Facility		$58.26	$112.00	$170.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $104.44 / $227.57	Professional		$104.44	$104.44	$227.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $144.60 / $254.50	Professional		$3.00	$144.60	$254.50
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $116.61 / $260.43	Professional		$79.53	$116.61	$260.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $285.86 / $285.86	Facility		$55.00	$285.86	$285.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $425.28 / $699.92 / $805.13	Professional		$425.28	$699.92	$805.13