Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $364.28 / $1,350.00	Facility		$194.92	$364.28	$1,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $285.64 / $666.81	Professional		$173.18	$285.64	$666.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $142.41 / $313.70	Professional		$130.16	$142.41	$313.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $276.22 / $590.87	Professional		$197.00	$276.22	$590.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.65 / $291.52 / $635.97	Professional		$202.65	$291.52	$635.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.45 / $308.70 / $428.19	Facility		$192.45	$308.70	$428.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.28 / $366.28 / $366.28	Professional		$366.28	$366.28	$366.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $286.07 / $492.41	Professional		$164.04	$286.07	$492.41
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 $228.18 / $296.25 / $729.16	Professional		$228.18	$296.25	$729.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,372.98 / $1,372.98	Facility		$55.00	$1,372.98	$1,372.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,454.64 / $2,265.84 / $2,635.95	Professional		$1,454.64	$2,265.84	$2,635.95