Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.54 / $392.84 / $5,449.00	Facility		$127.54	$392.84	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $167.53 / $301.69	Professional		$76.28	$167.53	$301.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.06 / $339.06 / $339.06	Professional		$339.06	$339.06	$339.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $280.77 / $445.54	Professional		$120.22	$280.77	$445.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $638.03	Facility		$395.75	$395.75	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $210.91 / $418.03	Professional		$99.53	$210.91	$418.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $201.04 / $391.00	Facility		$86.93	$201.04	$391.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $249.00 / $400.00	Professional		$228.80	$249.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $246.30 / $551.20	Professional		$4.00	$246.30	$551.20
United Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $2,155.00 / $3,348.00	Facility		$893.00	$2,155.00	$3,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $243.11 / $436.12	Professional		$159.72	$243.11	$436.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $519.95 / $12,000.00	Facility		$519.95	$519.95	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $746.57 / $1,410.78 / $1,610.48	Professional		$746.57	$1,410.78	$1,610.48