Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $956.09 / $5,383.52	Facility		$109.03	$956.09	$5,383.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $110.04 / $263.80	Professional		$65.34	$110.04	$263.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $136.08 / $177.84	Professional		$92.10	$136.08	$177.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $161.05 / $242.87	Professional		$99.51	$161.05	$242.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $132.51 / $231.47	Professional		$84.06	$132.51	$231.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $120.44 / $190.79	Facility		$65.34	$120.44	$190.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $120.44 / $253.77	Professional		$120.44	$120.44	$253.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $142.00 / $291.39	Professional		$3.00	$142.00	$291.39
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 $91.34 / $136.01 / $288.11	Professional		$91.34	$136.01	$288.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $317.30 / $317.30	Facility		$55.00	$317.30	$317.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $474.32 / $852.00 / $921.68	Professional		$474.32	$852.00	$921.68