Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $144.54 / $338.84	Facility		$87.10	$144.54	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $288.40	Professional		$77.62	$114.82	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $269.15	Professional		$102.33	$158.49	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $199.53	Professional		$104.71	$138.04	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $181.97	Facility		$87.10	$120.23	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $169.82 / $218.78	Professional		$3.02	$169.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,244.36 / $10,471.29	Facility		$2,398.83	$7,244.36	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $208.93	Professional		$87.10	$120.23	$208.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $9,549.93 / $9,549.93	Facility		$56.23	$9,549.93	$9,549.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56