Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.66 / $2,489.00 / $6,953.60	Facility		$298.66	$2,489.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $284.82 / $602.50	Professional		$117.21	$284.82	$602.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $96.13 / $112.98	Professional		$53.43	$96.13	$112.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.50 / $414.15 / $702.80	Facility		$376.50	$414.15	$702.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $428.82 / $792.10	Professional		$175.78	$428.82	$792.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $650.35 / $1,226.89	Facility		$323.44	$650.35	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $319.16 / $637.49	Professional		$154.01	$319.16	$637.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $325.00 / $507.72	Facility		$118.71	$325.00	$507.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $347.57 / $400.00 / $480.80	Professional		$347.57	$400.00	$480.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $322.18 / $757.60	Professional		$139.28	$322.18	$757.60
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 $261.27 / $344.63 / $686.78	Professional		$261.27	$344.63	$686.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $678.85 / $678.85 / $12,000.00	Facility		$678.85	$678.85	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $2,124.71 / $2,488.13	Professional		$1,350.00	$2,124.71	$2,488.13