Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.35 / $1,918.50 / $3,688.15	Facility		$269.35	$1,918.50	$3,688.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $273.52 / $460.13	Professional		$177.21	$273.52	$460.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $490.81 / $490.81 / $490.81	Professional		$490.81	$490.81	$490.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $419.65 / $727.89	Professional		$249.84	$419.65	$727.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $363.65 / $622.54	Professional		$212.48	$363.65	$622.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $300.00 / $543.25	Facility		$200.31	$300.00	$543.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $344.20 / $344.20 / $688.33	Professional		$344.20	$344.20	$688.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,533.82 / $4,533.82 / $4,533.82	Facility		$4,533.82	$4,533.82	$4,533.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $252.20 / $753.60	Professional		$5.00	$252.20	$753.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.31 / $363.97 / $809.18	Professional		$267.31	$363.97	$809.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,377.42 / $1,377.42 / $12,000.00	Facility		$1,377.42	$1,377.42	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,450.24 / $1,996.64 / $2,339.85	Professional		$1,450.24	$1,996.64	$2,339.85