Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.32 / $490.56 / $2,043.00	Facility		$280.32	$490.56	$2,043.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $287.66 / $629.37	Professional		$169.24	$287.66	$629.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $251.03 / $506.96	Professional		$233.44	$251.03	$506.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $328.11 / $606.41	Professional		$184.60	$328.11	$606.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $298.91 / $634.79	Professional		$194.75	$298.91	$634.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.53 / $295.25 / $436.82	Facility		$182.53	$295.25	$436.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $365.43 / $365.43 / $365.43	Professional		$365.43	$365.43	$365.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $275.86 / $473.92	Professional		$156.90	$275.86	$473.92
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 $235.12 / $293.26 / $654.98	Professional		$235.12	$293.26	$654.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $1,312.86 / $1,312.86	Facility		$373.00	$1,312.86	$1,312.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,389.92 / $2,186.80 / $2,544.00	Professional		$1,389.92	$2,186.80	$2,544.00