Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.48 / $2,200.14 / $5,170.89	Facility		$188.48	$2,200.14	$5,170.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $188.47 / $386.35	Professional		$126.58	$188.47	$386.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $83.73 / $83.73	Professional		$74.73	$83.73	$83.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $178.08 / $381.38	Professional		$142.99	$178.08	$381.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $205.73 / $402.63	Professional		$149.62	$205.73	$402.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.28 / $196.74 / $274.30	Facility		$141.28	$196.74	$274.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $220.43 / $220.43	Professional		$220.43	$220.43	$220.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $193.95 / $302.68	Professional		$124.81	$193.95	$302.68
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 $149.76 / $185.22 / $488.45	Professional		$149.76	$185.22	$488.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,019.52 / $1,019.52 / $11,500.00	Facility		$1,019.52	$1,019.52	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,076.24 / $1,395.92 / $1,627.43	Professional		$1,076.24	$1,395.92	$1,627.43