Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $831.76 / $5,495.41	Facility		$208.93	$831.76	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $630.96	Professional		$144.54	$234.42	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $575.44	Professional		$158.49	$288.40	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $467.74	Professional		$151.36	$263.03	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $218.78 / $380.19	Facility		$151.36	$218.78	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $501.19 / $602.56	Professional		$5.01	$501.19	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,760.83	Facility		$1,174.90	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $426.58	Professional		$131.83	$218.78	$426.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $19,498.45	Facility		$3,715.35	$3,715.35	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Professional		$1,548.82	$1,548.82	$1,819.70