Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $758.58 / $8,317.64	Facility		$218.78	$758.58	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $436.52	Professional		$151.36	$218.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $501.19	Professional		$190.55	$263.03	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $478.63	Professional		$173.78	$257.04	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Professional		$302.00	$302.00	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $380.19	Facility		$162.18	$239.88	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $478.63	Professional		$239.88	$363.08	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,332.54 / $14,454.40	Facility		$2,454.71	$9,332.54	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $380.19	Professional		$141.25	$204.17	$380.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,995.26	Professional		$1,698.24	$1,698.24	$1,995.26