Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.17 / $714.66 / $1,615.00	Facility		$405.17	$714.66	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.17 / $475.26 / $818.59	Professional		$405.17	$475.26	$818.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $677.62 / $677.62 / $677.62	Professional		$677.62	$677.62	$677.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.08 / $784.74 / $1,396.67	Professional		$533.08	$784.74	$1,396.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.19 / $648.62 / $1,261.43	Professional		$491.19	$648.62	$1,261.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $405.17 / $635.59 / $953.82	Facility		$405.17	$635.59	$953.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $547.00 / $658.00 / $658.00	Professional		$547.00	$658.00	$658.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $633.11 / $1,406.20	Professional		$4.00	$633.11	$1,406.20
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.82 / $571.86 / $1,099.68	Professional		$385.82	$571.86	$1,099.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,400.55 / $2,400.55	Facility		$55.00	$2,400.55	$2,400.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,021.60 / $3,283.39 / $3,644.55	Professional		$3,021.60	$3,283.39	$3,644.55