Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,890.45 / $6,165.95	Facility		$177.83	$3,890.45	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $478.63	Professional		$125.89	$199.53	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $346.74	Professional		$109.65	$223.87	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $354.81	Professional		$138.04	$204.17	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $363.08	Professional		$134.90	$208.93	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $269.15	Facility		$131.83	$190.55	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $190.55 / $316.23	Professional		$3.02	$190.55	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $6,760.83	Facility		$1,380.38	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $302.00	Professional		$114.82	$162.18	$302.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $13,489.63	Facility		$3,890.45	$3,890.45	$13,489.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Professional		$1,380.38	$1,380.38	$1,621.81