Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.43 / $356.44 / $3,707.00	Facility		$207.43	$356.44	$3,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $314.99 / $516.54	Professional		$188.97	$314.99	$516.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $180.15 / $180.15	Professional		$180.15	$180.15	$180.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $317.30 / $657.36	Professional		$210.44	$317.30	$657.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $318.77 / $728.46	Professional		$218.33	$318.77	$728.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.43 / $356.44 / $498.26	Facility		$207.43	$356.44	$498.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $402.71 / $402.71	Professional		$402.71	$402.71	$402.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $328.68 / $566.61	Professional		$177.60	$328.68	$566.61
United Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $874.00 / $2,229.00	Facility		$304.22	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.56 / $339.41 / $769.03	Professional		$254.56	$339.41	$769.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,479.84 / $1,479.84	Facility		$55.00	$1,479.84	$1,479.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,568.32 / $2,603.76 / $3,032.18	Professional		$1,568.32	$2,603.76	$3,032.18