Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.41 / $553.79 / $1,615.00	Facility		$91.41	$553.79	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $91.41 / $394.90	Professional		$65.40	$91.41	$394.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $96.71 / $123.74	Professional		$96.71	$96.71	$123.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $167.35 / $240.36	Professional		$97.68	$167.35	$240.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $124.23 / $220.92	Professional		$87.55	$124.23	$220.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $105.12 / $161.94	Facility		$69.25	$105.12	$161.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $123.31	Professional		$115.00	$115.00	$123.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $108.50 / $145.35	Professional		$63.28	$108.50	$145.35
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $135.27 / $243.48	Professional		$83.33	$135.27	$243.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $335.30 / $335.30	Facility		$55.00	$335.30	$335.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $497.04 / $585.83 / $792.30	Professional		$497.04	$585.83	$792.30