Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.11 / $980.81 / $5,177.00	Facility		$458.11	$980.81	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $555.35 / $1,042.32	Professional		$63.07	$555.35	$1,042.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $105.62 / $135.02	Professional		$105.62	$105.62	$135.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $964.59 / $1,904.86	Professional		$104.12	$964.59	$1,904.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $585.73 / $975.74	Facility		$323.44	$585.73	$975.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $264.73 / $1,395.19	Professional		$78.87	$264.73	$1,395.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.63 / $658.17 / $1,143.22	Facility		$63.63	$658.17	$1,143.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $728.00 / $1,654.16	Professional		$270.43	$728.00	$1,654.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $809.70 / $962.40 / $1,592.50	Professional		$809.70	$962.40	$1,592.50
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 $608.84 / $841.97 / $1,556.35	Professional		$608.84	$841.97	$1,556.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,033.46 / $1,033.46	Facility		$55.00	$1,033.46	$1,033.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,100.21 / $4,282.53 / $4,783.20	Professional		$2,100.21	$4,282.53	$4,783.20