Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $457.09 / $2,884.03	Facility		$85.11	$457.09	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $194.98 / $537.03	Professional		$58.88	$194.98	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $436.52	Professional		$50.12	$100.00	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $257.04 / $363.08	Professional		$87.10	$257.04	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $165.96 / $446.68	Professional		$66.07	$165.96	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $147.91 / $363.08	Facility		$56.23	$147.91	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $338.84 / $478.63	Professional		$89.13	$338.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $724.44 / $1,949.84	Facility		$173.78	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $323.59	Professional		$57.54	$128.82	$323.59
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 $1,949.84 / $2,951.21 / $2,951.21	Professional		$1,949.84	$2,951.21	$2,951.21