Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.90 / $1,128.75 / $3,900.74	Facility		$113.90	$1,128.75	$3,900.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $374.89 / $574.57	Professional		$68.02	$374.89	$574.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $68.05 / $68.05	Professional		$59.92	$68.05	$68.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $568.62 / $888.47	Professional		$160.59	$568.62	$888.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $324.29 / $914.04	Professional		$103.05	$324.29	$914.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $426.42 / $687.84	Facility		$68.02	$426.42	$687.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $393.00 / $560.00	Professional		$393.00	$393.00	$560.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $506.20 / $1,214.20	Professional		$4.00	$506.20	$1,214.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,393.00 / $9,447.00 / $14,257.00	Facility		$1,393.00	$9,447.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $503.39 / $1,001.08	Professional		$356.90	$503.39	$1,001.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $739.75 / $739.75	Facility		$55.00	$739.75	$739.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,502.11 / $2,905.60 / $3,414.83	Professional		$1,502.11	$2,905.60	$3,414.83