Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $5,495.41	Facility		$288.40	$489.78	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $707.95	Professional		$275.42	$338.84	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $831.76	Professional		$309.03	$457.09	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $724.44	Professional		$302.00	$416.87	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $776.25	Professional		$467.74	$467.74	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $602.56	Facility		$288.40	$389.05	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $691.83	Professional		$426.58	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $616.60	Professional		$245.47	$331.13	$616.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	54	$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,951.21	Professional		$2,511.89	$2,511.89	$2,951.21