Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $380.38 / $6,953.60	Facility		$217.50	$380.38	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $332.68 / $528.15	Professional		$193.02	$332.68	$528.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.52 / $329.52 / $329.52	Professional		$329.52	$329.52	$329.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $352.85 / $693.62	Professional		$226.14	$352.85	$693.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.20 / $341.49 / $762.68	Professional		$234.20	$341.49	$762.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.46 / $377.85 / $523.77	Facility		$212.46	$377.85	$523.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.59 / $426.59 / $600.00	Professional		$426.59	$426.59	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.48 / $344.10 / $595.91	Professional		$186.48	$344.10	$595.91
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 $266.43 / $357.47 / $803.59	Professional		$266.43	$357.47	$803.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,506.90 / $1,506.90 / $16,394.00	Facility		$1,506.90	$1,506.90	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,594.80 / $2,732.88 / $3,199.58	Professional		$1,594.80	$2,732.88	$3,199.58