Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.87 / $449.11 / $5,449.00	Facility		$133.87	$449.11	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $159.19 / $362.95	Professional		$106.84	$159.19	$362.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.63 / $207.63 / $227.52	Professional		$207.63	$207.63	$227.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $236.34 / $349.77	Professional		$159.74	$236.34	$349.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $207.22 / $356.59	Professional		$135.00	$207.22	$356.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $186.78 / $280.29	Facility		$106.84	$186.78	$280.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $180.17 / $387.59	Professional		$180.17	$180.17	$387.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $237.30 / $422.60	Professional		$3.00	$237.30	$422.60
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $833.00 / $1,928.00	Facility		$361.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $200.00 / $434.92	Professional		$136.75	$200.00	$434.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $527.11 / $527.11	Facility		$55.00	$527.11	$527.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $781.92 / $1,161.28 / $1,366.43	Professional		$781.92	$1,161.28	$1,366.43