Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.08 / $4,148.00 / $9,201.87	Facility		$222.08	$4,148.00	$9,201.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $167.93 / $394.04	Professional		$103.20	$167.93	$394.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $188.29 / $250.18	Professional		$129.36	$188.29	$250.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $278.60 / $442.71	Professional		$173.03	$278.60	$442.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $259.73 / $259.73	Facility		$259.73	$259.73	$259.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $272.05 / $490.88	Professional		$149.76	$272.05	$490.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $202.68 / $392.89	Facility		$147.25	$202.68	$392.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $250.00 / $524.54	Professional		$202.68	$250.00	$524.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $239.17 / $418.80	Professional		$162.30	$239.17	$418.80
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $896.00 / $2,229.00	Facility		$206.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $268.45 / $618.16	Professional		$181.25	$268.45	$618.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $762.95 / $762.95	Facility		$55.00	$762.95	$762.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,125.68 / $1,257.45 / $1,925.03	Professional		$1,125.68	$1,257.45	$1,925.03