Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,949.84 / $5,495.41	Facility		$89.13	$1,949.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $263.03	Professional		$57.54	$120.23	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $61.66	Professional		$28.18	$35.48	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $323.59	Professional		$79.43	$138.04	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $269.15	Professional		$74.13	$138.04	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $125.89 / $213.80	Facility		$58.88	$125.89	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $346.74	Professional		$107.15	$245.47	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $14,454.40	Facility		$2,691.53	$9,549.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $234.42	Professional		$60.26	$123.03	$234.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93