Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $691.83 / $5,128.61	Facility		$309.03	$691.83	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $1,174.90	Professional		$257.04	$457.09	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $676.08	Professional		$194.98	$346.74	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,174.90	Professional		$398.11	$512.86	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,000.00	Professional		$354.81	$549.54	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Professional		$724.44	$724.44	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $724.44	Facility		$295.12	$457.09	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $741.31	Professional		$426.58	$467.74	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $758.58 / $1,949.84	Facility		$363.08	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $812.83	Professional		$295.12	$467.74	$812.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $45,708.82	Facility		$2,187.76	$2,187.76	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,890.45	Professional		$3,388.44	$3,388.44	$3,890.45