Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.53 / $397.15 / $523.49	Facility		$212.53	$397.15	$523.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $233.76 / $260.64	Professional		$162.90	$233.76	$260.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.87 / $240.87 / $240.87	Professional		$240.87	$240.87	$240.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.45 / $551.91 / $712.96	Facility		$384.45	$551.91	$712.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $195.48 / $228.06	Professional		$195.48	$195.48	$228.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.36 / $453.30 / $854.93	Facility		$222.36	$453.30	$854.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $90.10 / $467.72	Professional		$73.48	$90.10	$467.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $237.28 / $293.22	Facility		$158.16	$237.28	$293.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $157.40 / $173.14	Professional		$136.37	$157.40	$173.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $649.54 / $649.54 / $649.54	Facility		$649.54	$649.54	$649.54
United Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $190.26 / $384.44	Facility		$158.55	$190.26	$384.44
United Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $136.84 / $236.10	Professional		$78.11	$136.84	$236.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $528.49 / $1,547.55 / $1,547.55	Facility		$528.49	$1,547.55	$1,547.55