Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $501.19 / $7,585.78	Facility		$181.97	$501.19	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $549.54	Professional		$131.83	$257.04	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $489.78	Professional		$89.13	$181.97	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $630.96	Professional		$154.88	$288.40	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $302.00 / $575.44	Facility		$218.78	$302.00	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $549.54	Professional		$147.91	$269.15	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $426.58	Facility		$131.83	$245.47	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $562.34	Professional		$190.55	$263.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $389.05	Professional		$120.23	$213.80	$389.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $2,951.21	Facility		$616.60	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72