Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.58 / $642.88 / $3,805.35	Facility		$198.58	$642.88	$3,805.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $327.04 / $640.26	Professional		$183.56	$327.04	$640.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $287.70 / $409.12	Professional		$137.88	$287.70	$409.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.68 / $300.73 / $606.10	Professional		$198.68	$300.73	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.33 / $298.62 / $676.14	Professional		$204.33	$298.62	$676.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.58 / $327.04 / $453.00	Facility		$198.58	$327.04	$453.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $363.92 / $600.00	Professional		$363.92	$363.92	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $303.05 / $521.78	Professional		$170.63	$303.05	$521.78
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 $233.43 / $307.79 / $738.78	Professional		$233.43	$307.79	$738.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,410.18 / $1,410.18 / $16,394.00	Facility		$1,410.18	$1,410.18	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,492.72 / $2,399.36 / $2,799.45	Professional		$1,492.72	$2,399.36	$2,799.45