Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $512.86 / $5,495.41	Facility		$208.93	$512.86	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $660.69	Professional		$208.93	$323.59	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $616.60	Professional		$100.00	$100.00	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $870.96	Professional		$281.84	$457.09	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,348.96 / $2,344.23	Facility		$338.84	$1,348.96	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $707.95	Professional		$245.47	$371.54	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $562.34	Facility		$213.80	$338.84	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $645.65 / $912.01	Professional		$5.01	$645.65	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,890.45 / $9,549.93	Facility		$912.01	$3,890.45	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $524.81	Professional		$199.53	$302.00	$524.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $19,498.45	Facility		$7,943.28	$7,943.28	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38