Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $121.58 / $1,615.00	Facility		$14.96	$121.58	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $67.59 / $177.51	Professional		$14.96	$67.59	$177.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $74.91 / $74.91	Professional		$74.91	$74.91	$74.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $93.40 / $199.28	Professional		$23.34	$93.40	$199.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $88.09 / $111.17	Professional		$84.63	$88.09	$111.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $82.08 / $145.90	Facility		$14.96	$82.08	$145.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.55 / $73.55	Professional		$73.55	$73.55	$73.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $22.92 / $187.72	Professional		$14.38	$22.92	$187.72
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $99.60 / $240.02	Professional		$75.75	$99.60	$240.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $197.04 / $197.04	Facility		$197.04	$197.04	$197.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $437.17 / $813.12 / $835.65	Professional		$437.17	$813.12	$835.65