Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.93 / $593.86 / $5,449.00	Facility		$373.93	$593.86	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.93 / $404.12 / $758.95	Professional		$373.93	$404.12	$758.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.91 / $201.91 / $201.91	Professional		$201.91	$201.91	$201.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.45 / $624.23 / $1,035.75	Professional		$390.45	$624.23	$1,035.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.94 / $535.44 / $972.16	Professional		$397.94	$535.44	$972.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $373.93 / $480.99 / $735.62	Facility		$373.93	$480.99	$735.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $492.00 / $551.00	Professional		$378.00	$492.00	$551.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $552.51 / $637.70 / $771.77	Professional		$552.51	$637.70	$771.77
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 $336.64 / $487.23 / $961.66	Professional		$336.64	$487.23	$961.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,710.44 / $2,710.44 / $12,000.00	Facility		$2,710.44	$2,710.44	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,839.28 / $3,075.44 / $3,658.95	Professional		$2,839.28	$3,075.44	$3,658.95