Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $1,245.00 / $6,953.60	Facility		$74.64	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $113.78 / $202.56	Professional		$71.70	$113.78	$202.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $100.51 / $100.51	Professional		$100.51	$100.51	$100.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $132.10 / $191.05	Professional		$98.10	$132.10	$191.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $129.41 / $201.48	Professional		$90.10	$129.41	$201.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $117.53 / $198.67	Facility		$74.64	$117.53	$198.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $99.54 / $194.90	Professional		$99.54	$99.54	$194.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $136.90 / $187.70	Professional		$53.00	$136.90	$187.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $109.56 / $212.65	Professional		$74.97	$109.56	$212.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $461.36 / $4,217.50	Facility		$55.00	$461.36	$4,217.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,403.44 / $1,995.00 / $1,995.00	Professional		$1,403.44	$1,995.00	$1,995.00