Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $342.56 / $7,278.00	Facility		$141.69	$342.56	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $214.92 / $358.35	Professional		$141.69	$214.92	$358.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $155.35 / $155.35	Professional		$155.35	$155.35	$155.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $351.70 / $621.64	Professional		$213.38	$351.70	$621.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $296.14 / $487.09	Professional		$170.80	$296.14	$487.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $292.81 / $475.00	Facility		$141.69	$292.81	$475.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $305.38 / $305.38 / $544.58	Professional		$305.38	$305.38	$544.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $346.75 / $476.60	Professional		$207.59	$346.75	$476.60
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 $215.76 / $302.06 / $613.87	Professional		$215.76	$302.06	$613.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $720.15 / $720.15 / $16,394.00	Facility		$720.15	$720.15	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,060.88 / $1,728.01 / $1,847.93	Professional		$1,060.88	$1,728.01	$1,847.93