Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.84 / $657.13 / $4,311.00	Facility		$124.84	$657.13	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $150.30 / $352.00	Professional		$99.22	$150.30	$352.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.13 / $195.04	Professional		$139.13	$139.13	$195.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $229.86 / $330.07	Professional		$147.41	$229.86	$330.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $192.74 / $335.63	Professional		$127.42	$192.74	$335.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.22 / $174.82 / $263.27	Facility		$99.22	$174.82	$263.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $170.32 / $363.69	Professional		$170.32	$170.32	$363.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $224.50 / $396.80	Professional		$3.00	$224.50	$396.80
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 $129.31 / $188.59 / $410.40	Professional		$129.31	$188.59	$410.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $486.54 / $486.54	Facility		$55.00	$486.54	$486.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $1,090.16 / $1,276.20	Professional		$722.72	$1,090.16	$1,276.20