Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.43 / $5,449.00 / $13,755.61	Facility		$196.43	$5,449.00	$13,755.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $198.27 / $376.40	Professional		$196.26	$198.27	$376.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $207.50 / $368.06	Professional		$144.91	$207.50	$368.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $256.88 / $380.52	Professional		$175.46	$256.88	$380.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.05 / $982.05 / $982.05	Professional		$982.05	$982.05	$982.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.05 / $188.93 / $255.36	Facility		$188.05	$188.93	$255.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.93 / $188.93 / $270.00	Professional		$188.93	$188.93	$270.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.10 / $294.10 / $294.10	Professional		$294.10	$294.10	$294.10
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $275.57 / $664.33	Professional		$142.49	$275.57	$664.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $417.34 / $532.41 / $1,054.26	Facility		$417.34	$532.41	$1,054.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,509.92 / $1,808.03 / $1,808.03	Professional		$1,509.92	$1,808.03	$1,808.03