Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $195.82 / $5,449.00	Facility		$98.16	$195.82	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $123.85 / $219.21	Professional		$90.40	$123.85	$219.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $121.00 / $215.15	Professional		$117.89	$121.00	$215.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $150.60 / $308.51	Professional		$108.12	$150.60	$308.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $144.09 / $303.64	Professional		$99.76	$144.09	$303.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $137.00 / $222.63	Facility		$98.16	$137.00	$222.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $156.00 / $156.00	Professional		$148.99	$156.00	$156.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $148.60 / $182.87	Professional		$112.82	$148.60	$182.87
United Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $874.00 / $2,229.00	Facility		$227.64	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $132.40 / $344.71	Professional		$101.15	$132.40	$344.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $9,102.00 / $11,500.00	Facility		$700.80	$9,102.00	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $744.96 / $938.24 / $1,074.45	Professional		$744.96	$938.24	$1,074.45