Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $1,110.75 / $4,978.00	Facility		$94.19	$1,110.75	$4,978.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $223.72 / $421.44	Professional		$55.76	$223.72	$421.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $395.75 / $395.75	Professional		$395.75	$395.75	$395.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.55 / $629.55 / $638.75	Facility		$629.55	$629.55	$638.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $305.83 / $627.45	Professional		$87.71	$305.83	$627.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,215.60	Facility		$395.75	$395.75	$1,215.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $200.17 / $495.30	Professional		$70.48	$200.17	$495.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $229.22 / $427.44	Facility		$55.76	$229.22	$427.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $291.00 / $400.00	Professional		$274.00	$291.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $285.60 / $689.80	Professional		$4.00	$285.60	$689.80
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $301.58 / $563.22	Professional		$207.37	$301.58	$563.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $390.65 / $12,000.00	Facility		$390.65	$390.65	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $793.24 / $1,601.68 / $1,792.35	Professional		$793.24	$1,601.68	$1,792.35