Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $452.62 / $5,449.00	Facility		$130.97	$452.62	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $283.52 / $666.30	Professional		$130.97	$283.52	$666.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.16 / $408.16 / $408.16	Professional		$408.16	$408.16	$408.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.32 / $617.41 / $892.44	Professional		$238.32	$617.41	$892.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $414.42 / $693.43	Professional		$195.59	$414.42	$693.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $354.49 / $765.27	Facility		$140.13	$354.49	$765.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $495.10 / $495.10 / $495.10	Professional		$495.10	$495.10	$495.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $389.87 / $479.23	Professional		$183.43	$389.87	$479.23
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.02 / $492.09 / $809.18	Professional		$299.02	$492.09	$809.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $614.17 / $614.17 / $26,542.00	Facility		$614.17	$614.17	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,952.00 / $2,350.34 / $2,479.14	Professional		$1,952.00	$2,350.34	$2,479.14