Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $288.40	Facility		$47.86	$123.03	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $125.89	Professional		$37.15	$48.98	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $117.49	Professional		$50.12	$66.07	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $162.18	Professional		$33.11	$50.12	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $138.04	Professional		$50.12	$70.79	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $89.13	Facility		$38.90	$51.29	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $109.65	Professional		$37.15	$72.44	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $1,949.84	Facility		$363.08	$776.25	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $97.72	Professional		$42.66	$56.23	$97.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Professional		$309.03	$309.03	$436.52