Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $6,918.31	Facility		$223.87	$831.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $398.11	Professional		$125.89	$199.53	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $186.21	Professional		$85.11	$102.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $446.68	Professional		$144.54	$199.53	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $446.68	Professional		$147.91	$229.09	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $275.42	Professional		$257.04	$257.04	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $316.23	Facility		$141.25	$213.80	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $354.81	Professional		$213.80	$234.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $4,265.80	Facility		$776.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $380.19	Professional		$125.89	$194.98	$380.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $13,489.63	Facility		$2,187.76	$2,187.76	$13,489.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,949.84	Professional		$1,659.59	$1,659.59	$1,949.84