Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.66 / $394.88 / $2,588.50	Facility		$201.66	$394.88	$2,588.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $253.30 / $549.00	Professional		$139.49	$253.30	$549.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $108.37 / $334.34	Professional		$108.37	$108.37	$334.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $274.62 / $485.60	Professional		$155.86	$274.62	$485.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $239.21 / $503.19	Professional		$161.66	$239.21	$503.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $258.95 / $351.22	Facility		$139.49	$258.95	$351.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $301.31 / $301.31	Professional		$301.31	$301.31	$301.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $227.47 / $410.71	Professional		$122.73	$227.47	$410.71
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 $186.30 / $244.94 / $548.51	Professional		$186.30	$244.94	$548.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,002.72 / $1,002.72	Facility		$55.00	$1,002.72	$1,002.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $1,887.12 / $2,204.03	Professional		$1,061.68	$1,887.12	$2,204.03