Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.21 / $1,728.83 / $6,649.00	Facility		$328.21	$1,728.83	$6,649.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.71 / $354.50 / $950.12	Professional		$188.71	$354.50	$950.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.35 / $308.42 / $930.00	Professional		$162.35	$308.42	$930.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $502.92 / $948.59	Professional		$267.83	$502.92	$948.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $842.52 / $1,675.01	Facility		$453.24	$842.52	$1,675.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $417.95 / $1,063.06	Professional		$238.51	$417.95	$1,063.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $378.00 / $690.00	Facility		$191.15	$378.00	$690.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $556.00 / $828.00	Professional		$507.00	$556.00	$828.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.58 / $2,863.58 / $2,863.58	Facility		$2,863.58	$2,863.58	$2,863.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.80 / $341.64 / $1,090.59	Professional		$273.80	$341.64	$1,090.59
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,233.00 / $4,824.00	Facility		$400.00	$1,233.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $481.64 / $1,195.05	Professional		$210.47	$481.64	$1,195.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,320.78 / $1,320.78 / $16,394.00	Facility		$1,320.78	$1,320.78	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,821.01 / $3,473.76 / $4,059.23	Professional		$1,821.01	$3,473.76	$4,059.23