Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $299.76 / $6,714.10	Facility		$130.22	$299.76	$6,714.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.79 / $278.85 / $369.47	Professional		$231.79	$278.85	$369.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Professional		$348.56	$348.56	$348.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.18 / $1,163.10 / $1,163.10	Facility		$727.18	$1,163.10	$1,163.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $282.26 / $557.70	Professional		$156.85	$282.26	$557.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.44 / $485.09 / $915.43	Facility		$240.44	$485.09	$915.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $313.72 / $507.87	Professional		$161.69	$313.72	$507.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.85 / $395.04 / $522.84	Facility		$278.85	$395.04	$522.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $344.54 / $344.54 / $395.04	Professional		$344.54	$344.54	$395.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $348.56 / $667.49	Professional		$226.56	$348.56	$667.49
United Facility/Professional Facility Modifier Low / Median / High Price $395.04 / $411.30 / $474.05	Facility		$395.04	$411.30	$474.05
United Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $209.14 / $395.04	Professional		$174.28	$209.14	$395.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $606.49 / $1,655.66 / $1,655.66	Facility		$606.49	$1,655.66	$1,655.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,742.80 / $1,742.80 / $2,614.19	Professional		$1,742.80	$1,742.80	$2,614.19