Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,513.56 / $5,495.41	Facility		$162.18	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $288.40	Professional		$91.20	$154.88	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $537.03	Facility		$524.81	$524.81	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $416.87	Professional		$141.25	$269.15	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $354.81	Professional		$117.49	$194.98	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $263.03	Facility		$97.72	$162.18	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $316.23	Professional		$141.25	$229.09	$316.23
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 $95.50 / $158.49 / $295.12	Professional		$95.50	$158.49	$295.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,089.30 / $2,630.27	Facility		$56.23	$2,089.30	$2,630.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,318.26	Professional		$1,148.15	$1,318.26	$1,318.26