Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.10 / $827.20 / $5,724.00	Facility		$273.10	$827.20	$5,724.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $389.38 / $825.49	Professional		$231.02	$389.38	$825.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $325.68 / $540.65	Professional		$196.19	$325.68	$540.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $380.66 / $781.71	Professional		$280.83	$380.66	$781.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.68 / $397.91 / $831.62	Professional		$288.68	$397.91	$831.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $389.38 / $565.80	Facility		$240.04	$389.38	$565.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $479.11 / $479.11 / $606.00	Professional		$479.11	$479.11	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.72 / $357.89 / $617.41	Professional		$199.72	$357.89	$617.41
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 $313.52 / $389.36 / $958.33	Professional		$313.52	$389.36	$958.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,242.51 / $1,242.51 / $26,542.00	Facility		$1,242.51	$1,242.51	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,787.60 / $2,834.96 / $3,300.38	Professional		$1,787.60	$2,834.96	$3,300.38