Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $758.58 / $5,495.41	Facility		$131.83	$758.58	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $426.58	Professional		$85.11	$158.49	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $354.81	Professional		$102.33	$151.36	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $1,071.52	Facility		$323.59	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $416.87	Professional		$97.72	$173.78	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $151.36 / $331.13	Facility		$85.11	$151.36	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $562.34	Professional		$123.03	$275.42	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $257.04	Professional		$79.43	$123.03	$257.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $19,498.45	Facility		$3,630.78	$3,630.78	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96