Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.41 / $784.03 / $4,143.08	Facility		$325.41	$784.03	$4,143.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.41 / $486.94 / $830.13	Professional		$325.41	$486.94	$830.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $214.29 / $312.62	Professional		$214.29	$214.29	$312.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.38 / $517.94 / $1,115.39	Professional		$416.38	$517.94	$1,115.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.72 / $575.19 / $1,054.84	Professional		$409.72	$575.19	$1,054.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $325.41 / $520.66 / $778.48	Facility		$325.41	$520.66	$778.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $606.00 / $682.71	Professional		$606.00	$606.00	$682.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.57 / $463.45 / $774.93	Professional		$265.57	$463.45	$774.93
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 $414.77 / $515.05 / $1,156.42	Professional		$414.77	$515.05	$1,156.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,286.78 / $2,286.78 / $26,542.00	Facility		$2,286.78	$2,286.78	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,550.00 / $3,564.16 / $4,128.89	Professional		$2,550.00	$3,564.16	$4,128.89