Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $912.01 / $5,495.41	Facility		$204.17	$912.01	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $602.56	Professional		$141.25	$257.04	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Professional		$128.82	$128.82	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $645.65	Professional		$169.82	$275.42	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $478.63	Facility		$213.80	$309.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $537.03	Professional		$162.18	$275.42	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $416.87	Facility		$144.54	$257.04	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $645.65	Professional		$181.97	$257.04	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $389.05	Professional		$134.90	$218.78	$389.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,187.76	Professional		$1,862.09	$1,862.09	$2,187.76