Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.31 / $3,846.62 / $7,278.00	Facility		$326.31	$3,846.62	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $326.31 / $638.86	Professional		$240.94	$326.31	$638.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $146.22 / $275.20	Professional		$146.22	$146.22	$275.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.64 / $366.84 / $689.65	Professional		$268.64	$366.84	$689.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $364.59 / $708.88	Professional		$273.88	$364.59	$708.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $264.66 / $349.30 / $487.30	Facility		$264.66	$349.30	$487.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.27 / $394.27 / $600.00	Professional		$394.27	$394.27	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.07 / $332.66 / $513.83	Professional		$231.07	$332.66	$513.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.47 / $329.30 / $860.25	Professional		$267.47	$329.30	$860.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,855.32 / $1,855.32 / $16,394.00	Facility		$1,855.32	$1,855.32	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,959.44 / $2,384.16 / $2,790.45	Professional		$1,959.44	$2,384.16	$2,790.45