Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $851.14 / $7,244.36	Facility		$208.93	$851.14	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $478.63	Professional		$128.82	$213.80	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $208.93	Professional		$190.55	$194.98	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $199.53 / $223.87	Facility		$173.78	$199.53	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $562.34	Professional		$173.78	$288.40	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $602.56	Facility		$173.78	$251.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $467.74	Professional		$154.88	$239.88	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $363.08	Facility		$131.83	$218.78	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $549.54	Professional		$181.97	$234.42	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,041.74 / $5,888.44	Facility		$398.11	$2,041.74	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $346.74	Professional		$125.89	$190.55	$346.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,995.26 / $1,995.26	Facility		$56.23	$1,995.26	$1,995.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Professional		$1,548.82	$1,548.82	$1,819.70