Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.39 / $2,288.05 / $6,037.44	Facility		$231.39	$2,288.05	$6,037.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $164.22 / $344.79	Professional		$147.05	$164.22	$344.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $140.06 / $281.14	Professional		$74.23	$140.06	$281.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $317.06 / $483.52	Professional		$207.04	$317.06	$483.52
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 $186.14 / $259.11 / $431.95	Professional		$186.14	$259.11	$431.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.74 / $224.36 / $391.19	Facility		$154.74	$224.36	$391.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $530.00 / $635.00	Professional		$225.00	$530.00	$635.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $294.39 / $372.40	Professional		$223.10	$294.39	$372.40
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 $147.83 / $194.28 / $421.88	Professional		$147.83	$194.28	$421.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $864.30 / $4,901.45 / $16,394.00	Facility		$864.30	$4,901.45	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,157.98 / $2,157.98 / $2,157.98	Professional		$2,157.98	$2,157.98	$2,157.98