Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $562.34 / $6,760.83	Facility		$229.09	$562.34	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $177.83 / $537.03	Professional		$57.54	$177.83	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.40 / $707.95	Professional		$100.00	$288.40	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $501.19	Professional		$97.72	$239.88	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $691.83	Professional		$338.84	$338.84	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $190.55 / $416.87	Facility		$64.57	$190.55	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $602.56	Professional		$239.88	$338.84	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,467.37 / $6,606.93	Facility		$1,122.02	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $436.52	Professional		$131.83	$234.42	$436.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $28,840.32	Facility		$3,715.35	$3,715.35	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26