Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.90 / $1,709.15 / $6,952.10	Facility		$183.90	$1,709.15	$6,952.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $276.43 / $507.40	Professional		$120.35	$276.43	$507.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $253.13 / $253.13	Professional		$115.06	$253.13	$253.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $413.98 / $671.16	Professional		$225.00	$413.98	$671.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $320.20 / $667.63	Professional		$161.47	$320.20	$667.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $304.07 / $488.78	Facility		$120.35	$304.07	$488.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $328.00 / $373.00	Professional		$328.00	$328.00	$373.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $349.20 / $757.50	Professional		$292.50	$349.20	$757.50
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 $253.74 / $376.80 / $730.04	Professional		$253.74	$376.80	$730.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $594.04 / $594.04	Facility		$55.00	$594.04	$594.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,016.12 / $1,955.12 / $2,259.83	Professional		$1,016.12	$1,955.12	$2,259.83