Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.94 / $791.94 / $791.94	Facility		$791.94	$791.94	$791.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $791.94 / $791.94	Professional		$137.07	$791.94	$791.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $207.29 / $447.48	Professional		$26.00	$207.29	$447.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $694.36 / $998.48	Professional		$261.64	$694.36	$998.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $123.35	Professional		$102.95	$102.95	$123.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $349.12 / $350.57	Facility		$137.07	$349.12	$350.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $349.12 / $504.42	Professional		$193.00	$349.12	$504.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $133.13 / $718.55	Professional		$114.12	$133.13	$718.55
United Facility/Professional Professional Modifier Low / Median / High Price $345.30 / $491.10 / $937.42	Professional		$345.30	$491.10	$937.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $782.96 / $2,613.82 / $2,613.82	Facility		$782.96	$2,613.82	$2,613.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,779.80 / $1,779.80 / $1,779.80	Professional		$1,779.80	$1,779.80	$1,779.80