Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $6,918.31	Facility		$194.98	$524.81	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $602.56	Professional		$154.88	$275.42	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $416.87	Professional		$181.97	$245.47	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $446.68	Professional		$158.49	$229.09	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $426.58	Professional		$162.18	$257.04	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $354.81	Facility		$154.88	$223.87	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $389.05 / $691.83	Professional		$158.49	$389.05	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $6,918.31	Facility		$1,698.24	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $389.05	Professional		$128.82	$190.55	$389.05
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 $1,862.09 / $1,862.09 / $2,238.72	Professional		$1,862.09	$1,862.09	$2,238.72