Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.56 / $3,714.23 / $8,392.65	Facility		$179.56	$3,714.23	$8,392.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $210.91 / $510.12	Professional		$107.61	$210.91	$510.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $202.01 / $202.01	Professional		$115.86	$202.01	$202.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $257.08 / $514.86	Professional		$145.90	$257.08	$514.86
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 $126.64 / $236.81 / $510.09	Professional		$126.64	$236.81	$510.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.21 / $215.23 / $345.47	Facility		$118.21	$215.23	$345.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $399.00 / $708.93	Professional		$319.00	$399.00	$708.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $184.55 / $542.50	Professional		$123.80	$184.55	$542.50
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 $154.57 / $240.44 / $562.28	Professional		$154.57	$240.44	$562.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $839.22 / $839.22 / $12,000.00	Facility		$839.22	$839.22	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $948.57 / $1,781.92 / $2,108.10	Professional		$948.57	$1,781.92	$2,108.10