Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $4,365.16 / $7,943.28	Facility		$245.47	$4,365.16	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $870.96	Professional		$151.36	$331.13	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $588.84	Professional		$134.90	$213.80	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $794.33	Professional		$208.93	$467.74	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $630.96	Professional		$186.21	$363.08	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $588.84	Facility		$147.91	$323.59	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $371.54 / $891.25	Professional		$3.02	$371.54	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,890.45 / $6,760.83	Facility		$1,548.82	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $562.34	Professional		$151.36	$295.12	$562.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $28,840.32	Facility		$5,495.41	$5,495.41	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $3,890.45	Professional		$2,570.40	$3,890.45	$3,890.45