Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $661.35 / $1,077.39	Facility		$210.65	$661.35	$1,077.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $73.28 / $129.91	Professional		$66.20	$73.28	$129.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $65.93 / $125.49	Professional		$60.02	$65.93	$125.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $116.74 / $173.43	Professional		$83.71	$116.74	$173.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $1,731.66	Facility		$80.95	$80.95	$1,731.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $101.65 / $173.46	Professional		$69.95	$101.65	$173.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.67 / $88.21 / $142.33	Facility		$69.67	$88.21	$142.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $91.00 / $173.37	Professional		$91.00	$91.00	$173.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,025.00 / $2,025.00 / $2,025.00	Facility		$2,025.00	$2,025.00	$2,025.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $105.72 / $133.41	Professional		$64.15	$105.72	$133.41
United Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $900.00	Facility		$620.00	$620.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $76.76 / $139.29	Professional		$60.71	$76.76	$139.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $958.63 / $958.63	Facility		$165.07	$958.63	$958.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $792.53 / $848.55 / $848.55	Professional		$792.53	$848.55	$848.55