Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.05 / $1,746.94 / $4,311.00	Facility		$278.05	$1,746.94	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $193.60 / $486.41	Professional		$169.37	$193.60	$486.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $307.16 / $307.16	Professional		$307.16	$307.16	$307.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.93 / $356.67 / $474.64	Professional		$260.93	$356.67	$474.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $314.95 / $504.67	Professional		$225.31	$314.95	$504.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.37 / $260.93 / $406.91	Facility		$169.37	$260.93	$406.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $260.93 / $260.93 / $432.93	Professional		$260.93	$260.93	$432.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $334.90 / $428.70	Professional		$252.00	$334.90	$428.70
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $300.14 / $512.60	Professional		$175.28	$300.14	$512.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $435.80 / $836.24	Facility		$55.00	$435.80	$836.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,242.24 / $1,442.78 / $1,442.78	Professional		$1,242.24	$1,442.78	$1,442.78