Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.25 / $3,762.00 / $5,560.27	Facility		$609.25	$3,762.00	$5,560.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $281.91 / $548.87	Professional		$85.48	$281.91	$548.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $153.34 / $560.79	Professional		$98.50	$153.34	$560.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $400.63 / $809.10	Professional		$149.80	$400.63	$809.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $727.74 / $1,372.88	Facility		$323.44	$727.74	$1,372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $260.00 / $652.79	Professional		$116.06	$260.00	$652.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $298.72 / $507.82	Facility		$87.00	$298.72	$507.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $400.00 / $475.00	Professional		$378.00	$400.00	$475.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $425.20 / $836.10	Professional		$334.40	$425.20	$836.10
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 $255.27 / $357.38 / $765.03	Professional		$255.27	$357.38	$765.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $733.39 / $12,000.00	Facility		$493.25	$733.39	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,094.99 / $2,316.01 / $2,465.03	Professional		$1,094.99	$2,316.01	$2,465.03