Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $7,244.36	Facility		$144.54	$245.47	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $323.59	Professional		$104.71	$158.49	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $190.55 / $407.38	Professional		$61.66	$190.55	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $602.56	Facility		$144.54	$204.17	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $346.74	Professional		$117.49	$190.55	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $269.15	Facility		$104.71	$165.96	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $524.81	Professional		$134.90	$302.00	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $446.68 / $1,348.96	Facility		$77.62	$446.68	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $257.04	Professional		$95.50	$147.91	$257.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Professional		$1,148.15	$1,148.15	$1,348.96