Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.42 / $613.25 / $8,158.33	Facility		$124.42	$613.25	$8,158.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $226.57 / $751.52	Professional		$124.42	$226.57	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $166.35 / $166.35	Professional		$166.35	$166.35	$166.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.30 / $748.32 / $1,269.88	Facility		$680.30	$748.32	$1,269.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $339.87 / $533.35	Professional		$182.30	$339.87	$533.35
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 $158.36 / $271.45 / $514.98	Professional		$158.36	$271.45	$514.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.42 / $224.13 / $311.73	Facility		$124.42	$224.13	$311.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $488.21 / $708.93	Professional		$243.00	$488.21	$708.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $235.30 / $446.30	Professional		$176.55	$235.30	$446.30
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 $176.46 / $241.15 / $486.39	Professional		$176.46	$241.15	$486.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $703.30 / $703.30	Facility		$55.00	$703.30	$703.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $896.80 / $1,478.96 / $1,720.20	Professional		$896.80	$1,478.96	$1,720.20