Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.52 / $403.20 / $812.41	Facility		$317.52	$403.20	$812.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $403.20 / $428.40	Professional		$302.39	$403.20	$428.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $315.00 / $315.00	Professional		$302.39	$315.00	$315.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $1,480.48 / $1,480.48	Facility		$1,134.00	$1,480.48	$1,480.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $428.40 / $907.20	Professional		$226.80	$428.40	$907.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.96 / $935.18 / $1,322.88	Facility		$382.96	$935.18	$1,322.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $419.25 / $734.10	Professional		$233.79	$419.25	$734.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $453.60 / $579.60	Facility		$302.39	$453.60	$579.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $504.00 / $504.00	Professional		$327.60	$504.00	$504.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $504.00 / $965.16	Professional		$327.60	$504.00	$965.16
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $262.08 / $504.00	Professional		$252.00	$262.08	$504.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $876.96 / $2,394.00 / $2,394.00	Facility		$876.96	$2,394.00	$2,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $2,520.00 / $3,780.00	Professional		$2,520.00	$2,520.00	$3,780.00