Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $1,711.30 / $5,948.38	Facility		$192.80	$1,711.30	$5,948.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $182.56 / $408.74	Professional		$113.20	$182.56	$408.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $86.39 / $198.68	Professional		$82.29	$86.39	$198.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.09 / $180.86 / $378.04	Professional		$144.09	$180.86	$378.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $207.31 / $410.24	Professional		$146.93	$207.31	$410.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $192.80 / $279.41	Facility		$143.34	$192.80	$279.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $220.77 / $220.77	Professional		$220.77	$220.77	$220.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $198.95 / $309.70	Professional		$128.07	$198.95	$309.70
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $190.18 / $428.19	Professional		$150.74	$190.18	$428.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $773.73 / $773.73 / $11,500.00	Facility		$773.73	$773.73	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,095.83 / $1,429.84 / $1,676.93	Professional		$1,095.83	$1,429.84	$1,676.93