Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.63 / $280.13 / $1,615.00	Facility		$181.63	$280.13	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $223.54 / $433.89	Professional		$129.94	$223.54	$433.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $86.94	Professional		$86.94	$86.94	$86.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $279.20 / $554.76	Professional		$172.50	$279.20	$554.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.41 / $389.93 / $575.00	Facility		$277.41	$389.93	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $294.58 / $600.33	Professional		$147.69	$294.58	$600.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $249.15 / $426.31	Facility		$136.22	$249.15	$426.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $237.00 / $751.61	Professional		$199.54	$237.00	$751.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $200.60 / $685.30	Professional		$159.30	$200.60	$685.30
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 $180.27 / $292.14 / $721.90	Professional		$180.27	$292.14	$721.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,273.98 / $1,273.98	Facility		$55.00	$1,273.98	$1,273.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,338.32 / $2,244.96 / $2,645.63	Professional		$1,338.32	$2,244.96	$2,645.63