Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,621.81 / $3,019.95	Facility		$346.74	$1,621.81	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $257.04 / $794.33	Professional		$102.33	$257.04	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $416.87	Professional		$91.20	$208.93	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $537.03	Facility		$524.81	$524.81	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $645.65	Professional		$151.36	$354.81	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $524.81	Professional		$125.89	$263.03	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $239.88 / $398.11	Facility		$104.71	$239.88	$398.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $2,691.53	Facility		$977.24	$977.24	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.54 / $537.03	Professional		$154.88	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $4,073.80	Facility		$549.54	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $416.87	Professional		$104.71	$213.80	$416.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,089.30 / $2,951.21	Facility		$56.23	$2,089.30	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76