Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.53 / $314.58 / $1,136.02	Facility		$159.53	$314.58	$1,136.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $269.51 / $669.06	Professional		$137.18	$269.51	$669.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $146.60 / $398.10	Professional		$146.60	$146.60	$398.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $315.83 / $642.64	Professional		$156.65	$315.83	$642.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.25 / $183.25 / $606.10	Facility		$183.25	$183.25	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $320.23 / $646.73	Professional		$151.76	$320.23	$646.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $336.34 / $473.00	Facility		$137.18	$336.34	$473.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $296.79 / $326.00 / $430.00	Professional		$296.79	$326.00	$430.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $448.60 / $631.22	Professional		$201.85	$448.60	$631.22
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 $246.96 / $349.68 / $824.46	Professional		$246.96	$349.68	$824.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $731.88 / $731.88	Facility		$55.00	$731.88	$731.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,262.90 / $2,395.84 / $2,834.33	Professional		$1,262.90	$2,395.84	$2,834.33