Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.88 / $903.00 / $8,925.79	Facility		$277.88	$903.00	$8,925.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $372.36 / $834.36	Professional		$181.02	$372.36	$834.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $96.73 / $193.47	Professional		$96.73	$96.73	$193.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $450.19 / $961.68	Professional		$212.54	$450.19	$961.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,215.60	Facility		$395.75	$395.75	$1,215.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $456.41 / $954.47	Professional		$209.32	$456.41	$954.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.02 / $477.12 / $920.00	Facility		$181.02	$477.12	$920.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $481.00 / $601.00	Professional		$378.00	$481.00	$601.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.12 / $627.10 / $869.51	Professional		$264.12	$627.10	$869.51
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $474.11 / $1,014.16	Professional		$315.02	$474.11	$1,014.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $871.39 / $957.17 / $12,000.00	Facility		$871.39	$957.17	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,769.40 / $3,347.52 / $3,966.53	Professional		$1,769.40	$3,347.52	$3,966.53