Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.95 / $364.74 / $5,449.00	Facility		$172.95	$364.74	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $214.51 / $381.37	Professional		$172.95	$214.51	$381.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $176.79 / $176.79	Professional		$176.79	$176.79	$176.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.54 / $987.54 / $1,001.95	Facility		$987.54	$987.54	$1,001.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.15 / $353.45 / $609.44	Professional		$201.15	$353.45	$609.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.39 / $305.55 / $516.65	Professional		$196.39	$305.55	$516.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.95 / $266.58 / $457.97	Facility		$172.95	$266.58	$457.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $253.00 / $400.00	Professional		$253.00	$253.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.08 / $279.20 / $358.10	Professional		$253.08	$279.20	$358.10
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 $182.83 / $307.50 / $544.63	Professional		$182.83	$307.50	$544.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,226.40 / $1,226.40 / $12,000.00	Facility		$1,226.40	$1,226.40	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,302.32 / $1,648.34 / $1,772.70	Professional		$1,302.32	$1,648.34	$1,772.70