Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.67 / $277.82 / $5,449.00	Facility		$175.67	$277.82	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $257.58 / $595.27	Professional		$136.47	$257.58	$595.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $276.27 / $352.64	Professional		$276.27	$276.27	$352.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $255.61 / $429.65	Professional		$173.70	$255.61	$429.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $264.26 / $463.85	Professional		$157.85	$264.26	$463.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $217.39 / $440.03	Facility		$154.00	$217.39	$440.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $173.66 / $531.91	Professional		$173.66	$173.66	$531.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $339.40 / $685.00	Professional		$172.40	$339.40	$685.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $6,543.00	Facility		$1,172.00	$4,086.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $225.84 / $594.73	Professional		$160.55	$225.84	$594.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $841.51 / $841.51	Facility		$55.00	$841.51	$841.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,246.56 / $1,852.56 / $2,258.03	Professional		$1,246.56	$1,852.56	$2,258.03