Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $4,086.00 / $8,581.33	Facility		$149.71	$4,086.00	$8,581.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $161.50 / $401.24	Professional		$117.40	$161.50	$401.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $299.33 / $299.33	Professional		$299.33	$299.33	$299.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $233.73 / $342.33	Professional		$156.91	$233.73	$342.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $215.05 / $381.06	Professional		$135.41	$215.05	$381.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.53 / $190.26 / $331.80	Facility		$130.53	$190.26	$331.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $163.25 / $410.66	Professional		$163.25	$163.25	$410.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $187.40 / $521.29	Professional		$3.00	$187.40	$521.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $191.80 / $432.73	Professional		$124.85	$191.80	$432.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $685.66 / $685.66 / $11,500.00	Facility		$685.66	$685.66	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $968.64 / $1,371.84 / $1,610.63	Professional		$968.64	$1,371.84	$1,610.63