Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $1,252.05 / $2,760.67	Facility		$198.72	$1,252.05	$2,760.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $163.40 / $338.85	Professional		$130.41	$163.40	$338.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $187.02 / $307.29	Professional		$117.10	$187.02	$307.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $295.64 / $438.13	Professional		$213.76	$295.64	$438.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $238.53 / $416.86	Professional		$168.82	$238.53	$416.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $227.56 / $332.43	Facility		$133.86	$227.56	$332.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.00 / $215.00	Professional		$215.00	$215.00	$215.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $237.84 / $257.70	Professional		$194.68	$237.84	$257.70
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $238.73 / $642.04	Professional		$160.74	$238.73	$642.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $665.24 / $665.24 / $12,000.00	Facility		$665.24	$665.24	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $976.24 / $1,179.04 / $1,373.48	Professional		$976.24	$1,179.04	$1,373.48