Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.31 / $1,245.00 / $4,311.00	Facility		$163.31	$1,245.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $237.09 / $434.37	Professional		$143.31	$237.09	$434.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $109.30 / $109.30	Professional		$109.30	$109.30	$109.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $233.65 / $496.78	Professional		$165.34	$233.65	$496.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $251.08 / $513.82	Professional		$169.69	$251.08	$513.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.31 / $250.77 / $370.35	Facility		$163.31	$250.77	$370.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $303.93 / $303.93	Professional		$303.93	$303.93	$303.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $235.81 / $395.63	Professional		$137.02	$235.81	$395.63
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 $195.50 / $247.78 / $545.03	Professional		$195.50	$247.78	$545.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $857.66 / $857.66 / $11,500.00	Facility		$857.66	$857.66	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,233.76 / $1,827.84 / $2,121.23	Professional		$1,233.76	$1,827.84	$2,121.23