Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $4,466.84 / $8,709.64	Facility		$70.79	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $295.12	Professional		$66.07	$162.18	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $269.15	Professional		$117.49	$138.04	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $165.96 / $371.54	Professional		$61.66	$165.96	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $331.13	Professional		$72.44	$154.88	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $512.86	Professional		$190.55	$190.55	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $165.96 / $245.47	Facility		$70.79	$165.96	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $269.15	Professional		$102.33	$112.20	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $239.88	Professional		$61.66	$141.25	$239.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Professional		$1,230.27	$1,230.27	$1,258.93