Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.55 / $613.84 / $5,449.00	Facility		$173.55	$613.84	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $163.62 / $346.68	Professional		$107.48	$163.62	$346.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $157.52 / $227.15	Professional		$157.52	$157.52	$227.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $292.10 / $421.77	Professional		$161.83	$292.10	$421.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $174.87 / $606.10	Facility		$174.87	$174.87	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $216.34 / $388.59	Professional		$143.10	$216.34	$388.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.14 / $194.20 / $271.93	Facility		$114.14	$194.20	$271.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $228.00	Professional		$202.00	$202.00	$228.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $179.79 / $276.00	Professional		$105.81	$179.79	$276.00
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $223.59 / $455.28	Professional		$144.22	$223.59	$455.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $568.62 / $568.62	Facility		$55.00	$568.62	$568.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $826.56 / $993.00 / $1,521.98	Professional		$826.56	$993.00	$1,521.98