Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $785.13 / $7,278.00	Facility		$206.91	$785.13	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $423.48 / $674.32	Professional		$206.91	$423.48	$674.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $196.66 / $196.66	Professional		$196.66	$196.66	$196.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.24 / $678.06 / $1,194.83	Professional		$280.24	$678.06	$1,194.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.98 / $554.27 / $1,298.48	Professional		$295.98	$554.27	$1,298.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $542.89 / $883.95	Facility		$206.91	$542.89	$883.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $612.92 / $646.00 / $646.00	Professional		$612.92	$646.00	$646.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.52 / $306.80 / $419.99	Professional		$233.52	$306.80	$419.99
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.67 / $525.16 / $1,047.52	Professional		$412.67	$525.16	$1,047.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,716.40 / $1,716.40 / $16,394.00	Facility		$1,716.40	$1,716.40	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,839.00 / $2,839.00 / $3,089.91	Professional		$2,839.00	$2,839.00	$3,089.91