Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $5,495.41	Facility		$162.18	$316.23	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $398.11	Professional		$109.65	$165.96	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $275.42	Professional		$177.83	$177.83	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $363.08	Professional		$147.91	$245.47	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $346.74	Professional		$138.04	$208.93	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $275.42	Facility		$112.20	$173.78	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $295.12 / $436.52	Professional		$3.02	$295.12	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $758.58 / $1,949.84	Facility		$229.09	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $309.03	Professional		$112.20	$169.82	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Professional		$1,202.26	$1,202.26	$1,412.54