Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $17,782.79 / $37,153.52	Facility		$141.25	$17,782.79	$37,153.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $245.47	Professional		$141.25	$173.78	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $354.81	Facility		$177.83	$245.47	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $194.98	Professional		$114.82	$177.83	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $426.58	Facility		$173.78	$173.78	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $251.19	Facility		$112.20	$173.78	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $234.42 / $275.42	Professional		$0.60	$234.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $302.00	Facility		$173.78	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $194.98	Professional		$165.96	$186.21	$194.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21