Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $251.19	Facility		$194.98	$251.19	$251.19
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $331.13 / $3,090.30	Facility		$114.82	$331.13	$3,090.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Facility		$724.44	$724.44	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Facility		$724.44	$724.44	$758.58