Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.97 / $3,554.68 / $5,247.17	Facility		$244.97	$3,554.68	$5,247.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $149.93 / $295.76	Professional		$80.11	$149.93	$295.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $144.94 / $279.58	Professional		$93.11	$144.94	$279.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $249.65 / $423.31	Professional		$109.40	$249.65	$423.31
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 $105.72 / $199.41 / $378.84	Professional		$105.72	$199.41	$378.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $203.01 / $552.00	Facility		$81.88	$203.01	$552.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $399.00 / $450.00	Professional		$227.00	$399.00	$450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $344.80 / $419.90	Professional		$292.30	$344.80	$419.90
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 $147.66 / $200.56 / $451.05	Professional		$147.66	$200.56	$451.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $557.34 / $557.34 / $12,000.00	Facility		$557.34	$557.34	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,443.08 / $2,302.71	Professional		$1,239.00	$1,443.08	$2,302.71