Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $3,790.56 / $8,256.54	Facility		$689.00	$3,790.56	$8,256.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $128.04 / $471.20	Professional		$118.14	$128.04	$471.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $157.49 / $157.49	Professional		$157.49	$157.49	$157.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.67 / $710.67 / $1,015.46	Facility		$710.67	$710.67	$1,015.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $213.06 / $341.45	Professional		$151.54	$213.06	$341.45
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 $118.29 / $174.05 / $320.49	Professional		$118.29	$174.05	$320.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.39 / $160.29 / $330.00	Facility		$121.39	$160.29	$330.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.29	Professional		$160.00	$160.00	$160.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $162.30 / $162.30	Professional		$162.30	$162.30	$162.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,347.00 / $8,736.00 / $13,997.00	Facility		$3,347.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $147.13 / $305.99	Professional		$109.41	$147.13	$305.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $280.17 / $1,300.00 / $2,000.00	Facility		$280.17	$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