Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $4,177.14 / $9,356.99	Facility		$120.51	$4,177.14	$9,356.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $120.36 / $447.20	Professional		$111.90	$120.36	$447.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $148.88 / $148.88	Professional		$148.88	$148.88	$148.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $242.84 / $322.85	Professional		$137.34	$242.84	$322.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $163.53 / $301.75	Professional		$114.69	$163.53	$301.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $150.51 / $600.00	Facility		$113.85	$150.51	$600.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.51	Professional		$150.00	$150.00	$150.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $152.40 / $152.40	Professional		$152.40	$152.40	$152.40
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $139.22 / $287.50	Professional		$102.45	$139.22	$287.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $262.92 / $1,300.00 / $2,000.00	Facility		$262.92	$1,300.00	$2,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,634.59 / $1,634.59 / $1,634.59	Professional		$1,634.59	$1,634.59	$1,634.59