Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $74.72 / $5,449.00	Facility		$39.68	$74.72	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $49.00 / $115.17	Professional		$39.68	$49.00	$115.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $66.68 / $66.68	Professional		$66.68	$66.68	$66.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $81.23 / $127.37	Professional		$57.97	$81.23	$127.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $73.00 / $123.69	Professional		$50.68	$73.00	$123.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $62.50 / $96.29	Facility		$39.68	$62.50	$96.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $61.73 / $127.12	Professional		$61.73	$61.73	$127.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $86.00 / $126.90	Professional		$74.70	$86.00	$126.90
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 $46.47 / $69.28 / $137.09	Professional		$46.47	$69.28	$137.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $193.94 / $193.94	Facility		$55.00	$193.94	$193.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $389.19 / $420.90	Professional		$289.52	$389.19	$420.90