Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $1,615.00 / $7,873.03	Facility		$178.46	$1,615.00	$7,873.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $442.27 / $799.00	Professional		$141.36	$442.27	$799.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $958.27 / $958.27 / $958.27	Professional		$958.27	$958.27	$958.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.01 / $664.95 / $1,639.65	Professional		$252.01	$664.95	$1,639.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $505.65 / $1,178.13	Professional		$193.34	$505.65	$1,178.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $451.12 / $924.34	Facility		$141.36	$451.12	$924.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $846.72 / $846.72 / $846.72	Professional		$846.72	$846.72	$846.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $250.96 / $735.65	Professional		$200.78	$250.96	$735.65
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 $565.52 / $851.62 / $1,352.68	Professional		$565.52	$851.62	$1,352.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $713.64 / $713.64	Facility		$55.00	$713.64	$713.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,622.75 / $3,038.48 / $3,595.20	Professional		$1,622.75	$3,038.48	$3,595.20