Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $4,086.00 / $4,833.75	Facility		$107.04	$4,086.00	$4,833.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $171.03 / $392.13	Professional		$71.56	$171.03	$392.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $221.41 / $221.41	Professional		$221.41	$221.41	$221.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $311.27 / $473.57	Professional		$123.28	$311.27	$473.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $209.33 / $438.83	Professional		$88.64	$209.33	$438.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $207.44 / $729.00	Facility		$75.08	$207.44	$729.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $721.91	Professional		$203.00	$203.00	$721.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $223.11 / $374.37	Professional		$81.00	$223.11	$374.37
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $231.25 / $513.15	Professional		$161.05	$231.25	$513.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $350.79 / $350.79	Facility		$55.00	$350.79	$350.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $749.52 / $1,614.94 / $2,613.80	Professional		$749.52	$1,614.94	$2,613.80