Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $630.13 / $4,086.00	Facility		$127.70	$630.13	$4,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $132.24 / $236.45	Professional		$74.37	$132.24	$236.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $53.65 / $77.09	Professional		$36.81	$53.65	$77.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.67 / $438.54 / $744.18	Facility		$398.67	$438.54	$744.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $220.21 / $415.25	Professional		$105.27	$220.21	$415.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $530.00 / $975.74	Facility		$323.44	$530.00	$975.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $181.92 / $394.41	Professional		$96.81	$181.92	$394.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $175.68 / $284.56	Facility		$77.17	$175.68	$284.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $396.00 / $475.00	Professional		$258.00	$396.00	$475.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,324.24 / $3,324.24 / $3,324.24	Facility		$3,324.24	$3,324.24	$3,324.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $137.19 / $406.90	Professional		$114.50	$137.19	$406.90
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $203.37 / $445.59	Professional		$142.62	$203.37	$445.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $632.59 / $12,000.00	Facility		$632.59	$632.59	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $704.09 / $1,343.84 / $1,571.70	Professional		$704.09	$1,343.84	$1,571.70