Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.11 / $356.32 / $1,011.78	Facility		$160.11	$356.32	$1,011.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $188.20 / $406.51	Professional		$131.68	$188.20	$406.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $180.47 / $180.47	Professional		$180.47	$180.47	$180.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $277.75 / $482.02	Professional		$186.69	$277.75	$482.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.25 / $229.43 / $395.75	Facility		$144.25	$229.43	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $244.54 / $446.50	Professional		$154.01	$244.54	$446.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $224.08 / $323.87	Facility		$131.68	$224.08	$323.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $396.00 / $450.00	Professional		$143.75	$396.00	$450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $204.20 / $444.80	Professional		$173.50	$204.20	$444.80
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $212.34 / $457.58	Professional		$158.05	$212.34	$457.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $943.62 / $943.62 / $12,000.00	Facility		$943.62	$943.62	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $993.28 / $1,382.24 / $1,626.15	Professional		$993.28	$1,382.24	$1,626.15