Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,344.23 / $4,570.88	Facility		$316.23	$2,344.23	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $812.83	Professional		$100.00	$234.42	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $501.19	Professional		$85.11	$125.89	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $575.44 / $1,479.11	Professional		$165.96	$575.44	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $338.84 / $912.01	Professional		$144.54	$338.84	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $269.15 / $549.54	Facility		$107.15	$269.15	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $251.19 / $1,621.81	Professional		$3.98	$251.19	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $4,265.80	Facility		$776.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $870.96	Professional		$112.20	$281.84	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,905.46 / $1,905.46	Facility		$56.23	$1,905.46	$1,905.46
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	52	$1,513.56	$1,513.56	$1,513.56
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	53	$380.19	$380.19	$380.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03