Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $5,495.41	Facility		$128.82	$346.74	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $380.19	Professional		$79.43	$165.96	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $169.82	Professional		$100.00	$102.33	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $457.09	Professional		$104.71	$245.47	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $380.19	Professional		$95.50	$199.53	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $416.87	Professional		$302.00	$302.00	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $331.13	Facility		$89.13	$169.82	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $457.09	Professional		$316.23	$389.05	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $4,073.80	Facility		$549.54	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $309.03	Professional		$79.43	$162.18	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $19,498.45	Facility		$2,089.30	$2,089.30	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,621.81	Professional		$1,412.54	$1,412.54	$1,621.81