Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $2,290.87 / $5,754.40	Facility		$77.62	$2,290.87	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $426.58	Professional		$77.62	$104.71	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $223.87	Facility		$131.83	$190.55	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $380.19	Professional		$104.71	$109.65	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $229.09	Facility		$97.72	$104.71	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $190.55	Professional		$104.71	$104.71	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $537.03	Facility		$81.28	$125.89	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $141.25 / $371.54	Professional		$0.60	$141.25	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $245.47 / $275.42	Facility		$109.65	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $158.49	Professional		$104.71	$109.65	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24