Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,621.81 / $5,888.44	Facility		$194.98	$1,621.81	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $446.68	Professional		$112.20	$199.53	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $204.17	Professional		$74.13	$109.65	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $380.19	Professional		$141.25	$173.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $407.38	Professional		$147.91	$213.80	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Professional		$208.93	$208.93	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $194.98 / $269.15	Facility		$144.54	$194.98	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $309.03	Professional		$213.80	$234.42	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $4,265.80	Facility		$776.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $346.74	Professional		$123.03	$169.82	$346.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $13,489.63	Facility		$2,041.74	$2,041.74	$13,489.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,659.59	Professional		$1,445.44	$1,445.44	$1,659.59