Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $626.25 / $1,760.04	Facility		$384.00	$626.25	$1,760.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.71 / $569.29 / $786.45	Professional		$449.71	$569.29	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $409.89	Professional		$380.00	$380.00	$409.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,285.85 / $1,943.45 / $2,191.84	Facility		$1,285.85	$1,943.45	$2,191.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $948.81 / $2,277.11	Professional		$341.57	$948.81	$2,277.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.95 / $711.96 / $1,992.77	Facility		$599.95	$711.96	$1,992.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.14 / $747.10 / $1,105.72	Professional		$352.14	$747.10	$1,105.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $552.82 / $721.10 / $872.91	Facility		$552.82	$721.10	$872.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $706.61 / $795.00 / $802.33	Professional		$706.61	$795.00	$802.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,288.29 / $2,288.29 / $2,288.29	Facility		$2,288.29	$2,288.29	$2,288.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $759.05 / $1,453.58	Professional		$493.38	$759.05	$1,453.58
United Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $455.43 / $802.33	Professional		$379.53	$455.43	$802.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,214.48 / $3,605.49 / $3,605.49	Facility		$1,214.48	$3,605.49	$3,605.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88