Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.21 / $2,588.50 / $6,140.56	Facility		$175.21	$2,588.50	$6,140.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $175.21 / $384.60	Professional		$100.52	$175.21	$384.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $89.79 / $121.63	Professional		$74.48	$89.79	$121.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $164.35 / $352.79	Professional		$132.88	$164.35	$352.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $189.48 / $376.66	Professional		$136.47	$189.48	$376.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $179.00 / $254.93	Facility		$130.88	$179.00	$254.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $203.69 / $203.69	Professional		$203.69	$203.69	$203.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $180.06 / $280.73	Professional		$117.53	$180.06	$280.73
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 $136.94 / $174.32 / $378.62	Professional		$136.94	$174.32	$378.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $705.85 / $705.85 / $11,500.00	Facility		$705.85	$705.85	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.32 / $1,296.16 / $1,508.48	Professional		$1,000.32	$1,296.16	$1,508.48