Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.82 / $3,591.84 / $4,951.97	Facility		$237.82	$3,591.84	$4,951.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $237.82 / $438.18	Professional		$140.84	$237.82	$438.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $386.63 / $386.63	Professional		$386.63	$386.63	$386.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $446.23 / $803.58	Professional		$314.89	$446.23	$803.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.85 / $354.35 / $564.96	Professional		$209.85	$354.35	$564.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.84 / $295.32 / $507.09	Facility		$140.84	$295.32	$507.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.06 / $307.06 / $587.20	Professional		$307.06	$307.06	$587.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $410.60 / $638.00	Professional		$4.00	$410.60	$638.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.34 / $365.48 / $647.87	Professional		$220.34	$365.48	$647.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $800.50 / $800.50	Facility		$55.00	$800.50	$800.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,026.16 / $1,159.20 / $2,203.34	Professional		$1,026.16	$1,159.20	$2,203.34