Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $562.34 / $5,888.44	Facility		$269.15	$562.34	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $870.96	Professional		$239.88	$389.05	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $512.86	Professional		$173.78	$380.19	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $870.96	Professional		$295.12	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $870.96	Professional		$323.59	$446.68	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $575.44	Professional		$478.63	$478.63	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $588.84	Facility		$269.15	$416.87	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $660.69	Professional		$389.05	$436.52	$660.69
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 $263.03 / $371.54 / $707.95	Professional		$263.03	$371.54	$707.95
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 $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44