Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.32 / $1,245.00 / $6,953.60	Facility		$375.32	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $386.57 / $895.83	Professional		$355.18	$386.57	$895.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $529.41 / $629.27	Professional		$264.70	$529.41	$629.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.66 / $694.42 / $1,034.86	Professional		$561.66	$694.42	$1,034.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.47 / $674.90 / $1,163.82	Professional		$490.47	$674.90	$1,163.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $356.27 / $540.11 / $784.42	Facility		$356.27	$540.11	$784.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $810.17 / $810.17 / $1,330.78	Facility	50	$810.17	$810.17	$1,330.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.11 / $540.11 / $540.11	Professional		$540.11	$540.11	$540.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $459.30 / $459.30 / $459.30	Professional		$459.30	$459.30	$459.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.46 / $585.73 / $1,064.57	Professional		$397.46	$585.73	$1,064.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,448.04 / $22,615.30	Facility		$55.00	$2,448.04	$22,615.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,691.04 / $3,186.98 / $3,186.98	Professional		$2,691.04	$3,186.98	$3,186.98