Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.68 / $3,498.45 / $8,254.23	Facility		$222.68	$3,498.45	$8,254.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $205.87 / $435.95	Professional		$154.82	$205.87	$435.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $199.62 / $199.62	Professional		$199.62	$199.62	$199.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $219.33 / $459.54	Professional		$176.33	$219.33	$459.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $250.30 / $477.72	Professional		$186.39	$250.30	$477.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.90 / $236.04 / $347.39	Facility		$172.90	$236.04	$347.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $264.20 / $264.20	Professional		$264.20	$264.20	$264.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $229.78 / $357.08	Professional		$150.80	$229.78	$357.08
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,376.00 / $4,102.00	Facility		$905.00	$2,376.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $220.40 / $580.55	Professional		$179.74	$220.40	$580.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,241.22 / $1,241.22 / $11,500.00	Facility		$1,241.22	$1,241.22	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,310.24 / $1,651.36 / $1,928.03	Professional		$1,310.24	$1,651.36	$1,928.03