Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $866.60 / $6,953.60	Facility		$225.60	$866.60	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $301.75 / $578.74	Professional		$205.59	$301.75	$578.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $304.37 / $304.37	Professional		$304.37	$304.37	$304.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.54 / $318.85 / $698.10	Professional		$234.54	$318.85	$698.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $354.26 / $741.23	Professional		$254.66	$354.26	$741.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $348.28 / $504.93	Facility		$225.60	$348.28	$504.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $393.18 / $393.18 / $600.00	Professional		$393.18	$393.18	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $327.31 / $553.04	Professional		$188.43	$327.31	$553.04
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $874.00 / $2,229.00	Facility		$361.00	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.10 / $342.92 / $891.18	Professional		$266.10	$342.92	$891.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,580.34 / $1,580.34 / $16,394.00	Facility		$1,580.34	$1,580.34	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,673.36 / $2,541.84 / $2,958.38	Professional		$1,673.36	$2,541.84	$2,958.38