Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.10 / $2,779.68 / $5,177.00	Facility		$281.10	$2,779.68	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $281.10 / $607.17	Professional		$186.08	$281.10	$607.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $364.59 / $560.00	Professional		$237.33	$364.59	$560.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.93 / $340.04 / $667.47	Professional		$196.93	$340.04	$667.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.77 / $325.50 / $395.75	Facility		$221.77	$325.50	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $325.70 / $605.94	Professional		$197.28	$325.70	$605.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.25 / $275.82 / $454.99	Facility		$181.25	$275.82	$454.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $298.54 / $685.57	Professional		$204.77	$298.54	$685.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $597.12 / $597.12 / $597.12	Facility		$597.12	$597.12	$597.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $304.99 / $609.29	Professional		$170.00	$304.99	$609.29
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $302.25 / $657.41	Professional		$214.15	$302.25	$657.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $1,340.52 / $3,930.50	Facility		$440.00	$1,340.52	$3,930.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,412.24 / $2,063.52 / $2,423.33	Professional		$1,412.24	$2,063.52	$2,423.33