Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.36 / $934.40 / $1,717.35	Facility		$216.36	$934.40	$1,717.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $152.18 / $385.39	Professional		$99.93	$152.18	$385.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $189.59 / $349.81	Professional		$138.18	$189.59	$349.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $340.84 / $595.85	Professional		$199.18	$340.84	$595.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $225.59 / $410.19	Professional		$141.05	$225.59	$410.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $233.68 / $451.09	Facility		$105.94	$233.68	$451.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $251.87	Professional		$251.87	$251.87	$251.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $298.52 / $518.88	Professional		$162.76	$298.52	$518.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $612.90 / $612.90 / $612.90	Facility		$612.90	$612.90	$612.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $671.63 / $1,785.61 / $1,785.61	Professional		$671.63	$1,785.61	$1,785.61