Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,737.80 / $5,248.07	Facility		$169.82	$1,737.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $478.63	Professional		$79.43	$165.96	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $281.84	Professional		$75.86	$85.11	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $223.87 / $407.38	Professional		$97.72	$223.87	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $1,202.26	Facility		$323.59	$691.83	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $380.19	Professional		$100.00	$190.55	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $309.03	Facility		$81.28	$169.82	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $346.74 / $467.74	Professional		$5.01	$346.74	$467.74
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 $81.28 / $151.36 / $269.15	Professional		$81.28	$151.36	$269.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $19,498.45	Facility		$3,981.07	$3,981.07	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $2,290.87	Professional		$1,445.44	$2,290.87	$2,290.87