Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,511.89 / $5,495.41	Facility		$151.36	$2,511.89	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $223.87	Professional		$151.36	$151.36	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $251.19	Professional		$114.82	$128.82	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $190.55	Facility		$125.89	$144.54	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $109.65	Professional		$89.13	$89.13	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $338.84	Professional		$151.36	$151.36	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $436.52	Facility		$151.36	$169.82	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $204.17 / $346.74	Professional		$0.60	$204.17	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $295.12	Facility		$158.49	$263.03	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $331.13	Professional		$125.89	$158.49	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83