Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.07 / $808.95 / $7,439.00	Facility		$326.07	$808.95	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.51 / $326.07 / $455.57	Professional		$281.51	$326.07	$455.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $233.67 / $233.67	Professional		$233.67	$233.67	$233.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $291.38 / $458.48	Professional		$163.75	$291.38	$458.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.62 / $597.09 / $755.49	Professional		$364.62	$597.09	$755.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $326.07 / $681.49	Facility		$266.61	$326.07	$681.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.33 / $431.33 / $431.33	Professional		$431.33	$431.33	$431.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Professional		$453.50	$453.50	$453.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.38 / $528.92	Professional		$177.83	$302.38	$528.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $737.32 / $4,701.01	Facility		$55.00	$737.32	$4,701.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,705.34 / $3,705.34 / $4,701.01	Professional		$3,705.34	$3,705.34	$4,701.01