Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.06 / $1,943.27 / $4,086.00	Facility		$190.06	$1,943.27	$4,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $256.73 / $470.12	Professional		$117.03	$256.73	$470.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $111.90 / $111.90	Professional		$111.90	$111.90	$111.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $385.16 / $624.42	Professional		$218.88	$385.16	$624.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $297.64 / $618.55	Professional		$156.76	$297.64	$618.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $282.39 / $451.61	Facility		$117.03	$282.39	$451.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $305.00 / $344.00	Professional		$305.00	$305.00	$344.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $271.00 / $323.30 / $701.50	Professional		$271.00	$323.30	$701.50
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,376.00 / $3,517.00	Facility		$405.00	$2,376.00	$3,517.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.28 / $371.97 / $681.83	Professional		$238.28	$371.97	$681.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $577.84 / $577.84	Facility		$55.00	$577.84	$577.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $937.70 / $967.35 / $2,628.00	Professional		$937.70	$967.35	$2,628.00