Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $961.48 / $5,702.80	Facility		$111.65	$961.48	$5,702.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $160.19 / $348.06	Professional		$72.84	$160.19	$348.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $194.72 / $194.72	Professional		$194.72	$194.72	$194.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $277.04 / $476.57	Professional		$113.00	$277.04	$476.57
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 $95.39 / $220.24 / $451.94	Professional		$95.39	$220.24	$451.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $222.94 / $385.00	Facility		$85.15	$222.94	$385.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $208.00 / $400.00	Professional		$207.77	$208.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $301.60 / $457.80	Professional		$3.00	$301.60	$457.80
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $247.99 / $541.78	Professional		$162.94	$247.99	$541.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $424.22 / $12,000.00	Facility		$418.95	$424.22	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $850.70 / $1,637.60 / $1,902.08	Professional		$850.70	$1,637.60	$1,902.08