Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.32 / $4,376.00 / $6,915.00	Facility		$244.32	$4,376.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $244.98 / $406.78	Professional		$146.59	$244.98	$406.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.83 / $214.83 / $214.83	Professional		$214.83	$214.83	$214.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $379.38 / $659.16	Professional		$237.67	$379.38	$659.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.73 / $319.61 / $538.10	Professional		$196.73	$319.61	$538.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $306.92 / $487.72	Facility		$155.69	$306.92	$487.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.92 / $306.92 / $623.99	Professional		$306.92	$306.92	$623.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $307.50 / $659.40	Professional		$6.00	$307.50	$659.40
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 $240.03 / $324.41 / $701.17	Professional		$240.03	$324.41	$701.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,274.63 / $1,274.63 / $12,000.00	Facility		$1,274.63	$1,274.63	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,319.00 / $1,796.00 / $2,100.60	Professional		$1,319.00	$1,796.00	$2,100.60