Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $2,465.37 / $6,460.21	Facility		$120.08	$2,465.37	$6,460.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $155.80 / $393.72	Professional		$69.84	$155.80	$393.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $125.41 / $230.88	Professional		$125.41	$125.41	$230.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.33 / $210.46 / $357.14	Facility		$191.33	$210.46	$357.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $270.87 / $570.08	Professional		$104.09	$270.87	$570.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.56 / $356.12 / $600.00	Facility		$212.56	$356.12	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $212.62 / $554.38	Professional		$73.06	$212.62	$554.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $216.70 / $362.51	Facility		$73.48	$216.70	$362.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $284.00 / $644.41	Professional		$208.87	$284.00	$644.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $87.20 / $623.60	Professional		$72.70	$87.20	$623.60
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 $189.90 / $267.33 / $643.44	Professional		$189.90	$267.33	$643.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $430.25 / $430.25 / $11,500.00	Facility		$430.25	$430.25	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.28 / $1,944.96 / $2,300.92	Professional		$1,023.28	$1,944.96	$2,300.92