Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.91 / $901.00 / $4,609.95	Facility		$300.91	$901.00	$4,609.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.05 / $423.83 / $791.12	Professional		$223.05	$423.83	$791.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $311.63 / $356.03	Professional		$188.56	$311.63	$356.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.96 / $763.18 / $1,236.47	Professional		$372.96	$763.18	$1,236.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $685.00 / $1,226.89	Facility		$453.24	$685.00	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.79 / $519.69 / $1,047.05	Professional		$296.79	$519.69	$1,047.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.62 / $572.45 / $822.37	Facility		$225.62	$572.45	$822.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $535.00 / $708.93	Professional		$500.00	$535.00	$708.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.99 / $1,644.99 / $1,644.99	Facility		$1,644.99	$1,644.99	$1,644.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $572.13 / $1,068.70	Professional		$264.64	$572.13	$1,068.70
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 $412.53 / $552.16 / $1,126.04	Professional		$412.53	$552.16	$1,126.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,279.15 / $1,279.15 / $16,394.00	Facility		$1,279.15	$1,279.15	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $3,456.08 / $4,059.83	Professional		$1,906.00	$3,456.08	$4,059.83