Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $4,466.84 / $8,709.64	Facility		$61.66	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $346.74	Professional		$60.26	$151.36	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $251.19	Professional		$100.00	$109.65	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $169.82 / $363.08	Professional		$58.88	$169.82	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $302.00	Professional		$69.18	$147.91	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $512.86	Professional		$186.21	$186.21	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $151.36 / $234.42	Facility		$63.10	$151.36	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $245.47	Professional		$91.20	$100.00	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $234.42	Professional		$58.88	$131.83	$234.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Professional		$1,000.00	$1,000.00	$1,174.90