Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,096.48 / $4,897.79	Facility		$114.82	$1,096.48	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $309.03 / $1,174.90	Professional		$67.61	$309.03	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $457.09	Professional		$53.70	$79.43	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $363.08 / $1,348.96	Professional		$87.10	$363.08	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $851.14 / $1,479.11	Facility		$323.59	$851.14	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $1,148.15	Professional		$85.11	$218.78	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $281.84 / $954.99	Facility		$69.18	$281.84	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,174.90 / $1,412.54	Professional		$104.71	$1,174.90	$1,412.54
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 $69.18 / $316.23 / $851.14	Professional		$69.18	$316.23	$851.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $4,897.79 / $4,897.79	Facility		$56.23	$4,897.79	$4,897.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,677.35	Professional		$3,981.07	$3,981.07	$4,677.35