Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,995.26 / $6,309.57	Facility		$199.53	$1,995.26	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $478.63	Professional		$131.83	$208.93	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $251.19	Professional		$79.43	$154.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $416.87	Professional		$151.36	$194.98	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $426.58	Professional		$158.49	$223.87	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $288.40	Facility		$151.36	$199.53	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $323.59	Professional		$223.87	$245.47	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $6,760.83	Facility		$1,230.27	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $363.08	Professional		$128.82	$181.97	$363.08
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 $1,479.11 / $1,479.11 / $1,737.80	Professional		$1,479.11	$1,479.11	$1,737.80