Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.44 / $414.90 / $3,945.59	Facility		$218.44	$414.90	$3,945.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $248.51 / $530.97	Professional		$132.78	$248.51	$530.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.66 / $223.63 / $319.94	Professional		$215.66	$223.63	$319.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $242.32 / $473.98	Professional		$146.63	$242.32	$473.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $228.80 / $510.30	Professional		$149.91	$228.80	$510.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.99 / $250.38 / $358.90	Facility		$145.99	$250.38	$358.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $287.52	Professional		$287.52	$287.52	$287.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $236.94 / $409.42	Professional		$126.45	$236.94	$409.42
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $238.27 / $614.52	Professional		$177.40	$238.27	$614.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,042.92 / $1,042.92	Facility		$55.00	$1,042.92	$1,042.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,103.59 / $1,878.96 / $2,191.58	Professional		$1,103.59	$1,878.96	$2,191.58