Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.34 / $475.54 / $5,449.00	Facility		$132.34	$475.54	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $297.08 / $482.84	Professional		$132.34	$297.08	$482.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.36 / $268.36 / $268.36	Professional		$268.36	$268.36	$268.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $626.64 / $907.09	Professional		$242.60	$626.64	$907.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.43 / $429.32 / $699.95	Professional		$197.43	$429.32	$699.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.84 / $386.01 / $730.98	Facility		$139.84	$386.01	$730.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.34 / $512.34 / $512.34	Professional		$512.34	$512.34	$512.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $419.22 / $514.95	Professional		$187.27	$419.22	$514.95
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 $326.82 / $494.08 / $852.20	Professional		$326.82	$494.08	$852.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $628.28 / $628.28 / $26,542.00	Facility		$628.28	$628.28	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,969.00 / $2,501.89 / $2,516.78	Professional		$1,969.00	$2,501.89	$2,516.78