Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.60 / $350.60 / $350.60	Facility		$350.60	$350.60	$350.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.51 / $350.60 / $538.83	Professional		$267.51	$350.60	$538.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $330.79 / $492.16	Professional		$307.05	$330.79	$492.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.98 / $491.28 / $711.03	Professional		$340.98	$491.28	$711.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $426.86 / $750.15	Professional		$300.64	$426.86	$750.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.14 / $327.33 / $485.57	Facility		$300.14	$327.33	$485.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $355.00 / $676.55	Professional		$224.10	$355.00	$676.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $475.11 / $712.80	Professional		$334.40	$475.11	$712.80
United Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $316.64 / $546.47	Professional		$249.87	$316.64	$546.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $815.81 / $1,753.99 / $1,753.99	Facility		$815.81	$1,753.99	$1,753.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,326.30 / $2,326.30 / $2,882.48	Professional		$2,326.30	$2,326.30	$2,882.48