Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $762.19 / $4,311.00	Facility		$186.59	$762.19	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $271.05 / $456.36	Professional		$163.77	$271.05	$456.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $188.30 / $446.04	Professional		$115.97	$188.30	$446.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $255.22 / $552.58	Professional		$179.79	$255.22	$552.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $277.01 / $577.02	Professional		$181.49	$277.01	$577.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $273.11 / $406.96	Facility		$186.59	$273.11	$406.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.91 / $333.91 / $333.91	Professional		$333.91	$333.91	$333.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $260.63 / $436.04	Professional		$155.30	$260.63	$436.04
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 $203.97 / $273.63 / $601.99	Professional		$203.97	$273.63	$601.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $975.51 / $975.51 / $11,500.00	Facility		$975.51	$975.51	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,407.04 / $2,017.84 / $2,341.80	Professional		$1,407.04	$2,017.84	$2,341.80