Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.67 / $3,133.33 / $6,915.00	Facility		$332.67	$3,133.33	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $326.29 / $495.84	Professional		$219.67	$326.29	$495.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.33 / $300.33 / $300.33	Professional		$300.33	$300.33	$300.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.38 / $474.81 / $840.63	Professional		$316.38	$474.81	$840.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.13 / $432.13 / $731.98	Professional		$248.13	$432.13	$731.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.67 / $373.44 / $617.39	Facility		$219.67	$373.44	$617.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $390.01 / $854.10	Professional		$390.01	$390.01	$854.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $459.99 / $696.50	Professional		$314.32	$459.99	$696.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $422.96 / $885.26	Professional		$286.52	$422.96	$885.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,108.27 / $1,108.27 / $16,394.00	Facility		$1,108.27	$1,108.27	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,888.00 / $2,262.80 / $2,728.65	Professional		$1,888.00	$2,262.80	$2,728.65