Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $1,156.31 / $6,524.30	Facility		$172.77	$1,156.31	$6,524.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $218.56 / $442.15	Professional		$159.05	$218.56	$442.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.82 / $413.82 / $413.82	Professional		$413.82	$413.82	$413.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $271.99 / $515.22	Professional		$173.70	$271.99	$515.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.82 / $259.99 / $536.94	Professional		$191.82	$259.99	$536.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.84 / $256.91 / $392.00	Facility		$166.84	$256.91	$392.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $280.06 / $600.00	Professional		$280.06	$280.06	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $261.83 / $407.42	Professional		$164.02	$261.83	$407.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $245.73 / $576.27	Professional		$191.13	$245.73	$576.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $904.02 / $904.02 / $16,394.00	Facility		$904.02	$904.02	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,285.52 / $1,874.88 / $2,242.94	Professional		$1,285.52	$1,874.88	$2,242.94