Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.95 / $4,311.00 / $5,569.61	Facility		$256.95	$4,311.00	$5,569.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $253.71 / $461.22	Professional		$203.13	$253.71	$461.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $125.10 / $143.32	Professional		$125.10	$125.10	$143.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $273.29 / $580.16	Professional		$226.00	$273.29	$580.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.85 / $316.29 / $597.97	Professional		$237.85	$316.29	$597.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $291.24 / $432.98	Facility		$219.25	$291.24	$432.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $334.70 / $400.00	Professional		$334.70	$334.70	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $286.31 / $443.79	Professional		$189.40	$286.31	$443.79
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 $226.99 / $276.70 / $626.04	Professional		$226.99	$276.70	$626.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,566.72 / $1,566.72 / $12,000.00	Facility		$1,566.72	$1,566.72	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $2,054.80 / $2,403.08	Professional		$1,654.00	$2,054.80	$2,403.08