Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $2,349.75 / $7,880.20	Facility		$195.40	$2,349.75	$7,880.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $204.79 / $452.20	Professional		$141.63	$204.79	$452.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $171.23 / $171.23	Professional		$171.23	$171.23	$171.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $204.79 / $429.46	Professional		$159.80	$204.79	$429.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $231.69 / $460.80	Professional		$162.63	$231.69	$460.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.77 / $221.11 / $318.24	Facility		$158.77	$221.11	$318.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $250.87 / $400.00	Professional		$250.87	$250.87	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $225.27 / $350.09	Professional		$142.87	$225.27	$350.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $215.94 / $515.40	Professional		$170.61	$215.94	$515.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $845.60 / $845.60 / $12,000.00	Facility		$845.60	$845.60	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.00 / $1,617.12 / $1,906.13	Professional		$1,202.00	$1,617.12	$1,906.13