Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.76 / $7,897.92 / $12,018.41	Facility		$141.76	$7,897.92	$12,018.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $146.37 / $283.02	Professional		$131.37	$146.37	$283.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $229.90 / $255.54	Professional		$149.33	$229.90	$255.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $285.29 / $352.81	Professional		$168.05	$285.29	$352.81
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 $156.18 / $211.22 / $373.39	Professional		$156.18	$211.22	$373.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.76 / $186.31 / $272.32	Facility		$141.76	$186.31	$272.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $37.26 / $46.85 / $66.91	Facility	80	$37.26	$46.85	$66.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $26.08 / $32.79 / $44.85	Facility	AS	$26.08	$32.79	$44.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $184.00 / $186.31	Professional		$183.00	$184.00	$186.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $202.08 / $386.80	Professional		$183.70	$202.08	$386.80
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 $123.73 / $174.87 / $358.27	Professional		$123.73	$174.87	$358.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $365.63 / $696.49	Facility		$55.00	$365.63	$696.49
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $20.02 / $35.86 / $69.65	Facility	AS	$20.02	$35.86	$69.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,264.28 / $1,264.28 / $1,902.24	Professional		$1,264.28	$1,264.28	$1,902.24