Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,995.26	Facility		$398.11	$588.84	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,318.26	Facility		$707.95	$933.25	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $954.99	Professional		$354.81	$416.87	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $660.69 / $891.25	Facility		$316.23	$660.69	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $457.09 / $676.08	Facility		$416.87	$457.09	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $707.95	Professional		$630.96	$630.96	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $489.78 / $512.86	Facility		$251.19	$489.78	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $446.68	Professional		$173.78	$234.42	$446.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,090.30	Professional		$2,089.30	$2,089.30	$3,090.30