Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $741.31 / $5,495.41	Facility		$223.87	$741.31	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $707.95 / $1,778.28	Professional		$131.83	$707.95	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $1,513.56	Professional		$114.82	$251.19	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $501.19	Facility		$389.05	$446.68	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,202.26 / $2,290.87	Professional		$194.98	$1,202.26	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $831.76	Facility		$323.59	$588.84	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $426.58 / $1,698.24	Professional		$162.18	$426.58	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $660.69 / $1,479.11	Facility		$134.90	$660.69	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,187.76	Professional		$1,047.13	$1,737.80	$2,187.76
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 $134.90 / $588.84 / $1,380.38	Professional		$134.90	$588.84	$1,380.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,884.03 / $2,884.03	Facility		$56.23	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $6,165.95	Professional		$5,495.41	$5,495.41	$6,165.95