Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $549.54 / $5,248.07	Facility		$114.82	$549.54	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $416.87	Professional		$66.07	$107.15	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $158.49	Professional		$69.18	$97.72	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $239.88	Professional		$93.33	$154.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $213.80	Professional		$81.28	$120.23	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $162.18	Facility		$69.18	$95.50	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $194.98	Professional		$109.65	$151.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $169.82	Professional		$66.07	$97.72	$169.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $436.52 / $436.52	Facility		$56.23	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $794.33	Professional		$676.08	$794.33	$794.33