Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,148.15 / $6,456.54	Facility		$173.78	$1,148.15	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $616.60	Professional		$158.49	$245.47	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $478.63	Professional		$147.91	$269.15	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $501.19	Professional		$173.78	$281.84	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $524.81	Professional		$190.55	$263.03	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $346.74	Professional		$229.09	$229.09	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $363.08	Facility		$173.78	$257.04	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $407.38	Professional		$251.19	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,244.36 / $10,471.29	Facility		$2,187.76	$7,244.36	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $426.58	Professional		$151.36	$218.78	$426.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $28,840.32	Facility		$6,760.83	$6,760.83	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,238.72	Professional		$1,862.09	$1,862.09	$2,238.72