Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $631.25 / $1,930.35	Facility		$333.42	$631.25	$1,930.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $333.42 / $550.46	Professional		$277.16	$333.42	$550.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $185.24 / $773.79	Professional		$185.24	$185.24	$773.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.04 / $949.17 / $1,105.85	Facility		$706.04	$949.17	$1,105.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $375.10 / $658.05	Professional		$242.25	$375.10	$658.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $579.99 / $1,094.24	Facility		$316.69	$579.99	$1,094.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $309.33 / $793.67	Professional		$193.33	$309.33	$793.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $273.05 / $273.05 / $604.33	Facility		$273.05	$273.05	$604.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $273.05 / $273.05 / $334.46	Professional		$273.05	$273.05	$334.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,183.35 / $3,183.35 / $3,183.35	Facility		$3,183.35	$3,183.35	$3,183.35
United Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $250.07 / $429.28	Professional		$136.53	$250.07	$429.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,083.90 / $2,083.90 / $3,125.85	Professional		$2,083.90	$2,083.90	$3,125.85