Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,479.11 / $4,786.30	Facility		$147.91	$1,479.11	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $501.19	Professional		$89.13	$208.93	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $407.38	Professional		$81.28	$112.20	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $380.19 / $602.56	Professional		$141.25	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $512.86	Professional		$128.82	$281.84	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $199.53 / $346.74	Facility		$97.72	$199.53	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $281.84 / $478.63	Professional		$3.02	$281.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $6,760.83	Facility		$1,230.27	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $457.09	Professional		$102.33	$229.09	$457.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $741.31 / $741.31	Facility		$56.23	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $1,995.26	Professional		$1,737.80	$1,995.26	$1,995.26