Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $3,819.00 / $7,583.94	Facility		$212.66	$3,819.00	$7,583.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $300.62 / $588.54	Professional		$128.49	$300.62	$588.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $180.42 / $446.88	Professional		$180.42	$180.42	$446.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $381.13 / $749.36	Professional		$209.81	$381.13	$749.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $346.62 / $641.13	Professional		$156.55	$346.62	$641.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $353.26 / $589.01	Facility		$128.49	$353.26	$589.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $376.03 / $730.08	Professional		$376.03	$376.03	$730.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,040.15 / $3,040.15 / $3,040.15	Facility		$3,040.15	$3,040.15	$3,040.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $368.30 / $826.90	Professional		$3.00	$368.30	$826.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,756.00 / $10,502.00	Facility		$2,526.00	$7,756.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.20 / $385.90 / $814.06	Professional		$268.20	$385.90	$814.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $652.32 / $16,394.00	Facility		$652.32	$652.32	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $2,383.65 / $3,552.73	Professional		$1,239.00	$2,383.65	$3,552.73