Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,995.26	Facility		$478.63	$645.65	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $724.44	Professional		$354.81	$478.63	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $1,819.70	Facility		$1,318.26	$1,819.70	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $389.05 / $954.99	Professional		$75.86	$389.05	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $954.99 / $1,584.89	Facility		$407.38	$954.99	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $912.01	Professional		$275.42	$524.81	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $741.31	Facility		$354.81	$478.63	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $446.68	Professional		$389.05	$389.05	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $630.96	Professional		$602.56	$602.56	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $724.44	Facility		$302.00	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $602.56	Professional		$251.19	$302.00	$602.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,466.84	Professional		$3,019.95	$3,019.95	$4,466.84