Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.53 / $694.50 / $7,968.00	Facility		$139.53	$694.50	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.53 / $350.45 / $549.51	Professional		$139.53	$350.45	$549.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $144.58 / $215.74	Professional		$144.58	$144.58	$215.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.91 / $662.00 / $1,154.80	Professional		$289.91	$662.00	$1,154.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,438.74	Facility		$606.10	$606.10	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $509.36 / $963.72	Professional		$241.84	$509.36	$963.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $442.74 / $763.25	Facility		$143.72	$442.74	$763.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $553.00 / $612.32	Professional		$313.00	$553.00	$612.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $318.60 / $1,217.80	Professional		$3.00	$318.60	$1,217.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.52 / $515.76 / $928.47	Professional		$372.52	$515.76	$928.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $875.91 / $26,542.00	Facility		$794.33	$875.91	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,562.95 / $2,170.85 / $2,701.08	Professional		$1,562.95	$2,170.85	$2,701.08