Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $1,039.39 / $7,439.00	Facility		$157.91	$1,039.39	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $429.10 / $941.26	Professional		$157.91	$429.10	$941.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $264.81 / $264.81	Professional		$264.81	$264.81	$264.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.88 / $868.58 / $1,838.49	Professional		$261.88	$868.58	$1,838.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $569.78 / $1,490.93	Professional		$207.33	$569.78	$1,490.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.56 / $562.96 / $1,580.27	Facility		$169.56	$562.96	$1,580.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $988.72 / $988.72 / $988.72	Professional		$988.72	$988.72	$988.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.02 / $620.62 / $787.72	Professional		$219.02	$620.62	$787.72
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 $518.87 / $963.86 / $1,723.93	Professional		$518.87	$963.86	$1,723.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $856.81 / $856.81	Facility		$55.00	$856.81	$856.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,739.80 / $4,750.47 / $5,400.09	Professional		$1,739.80	$4,750.47	$5,400.09