Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $290.58 / $290.58	Facility		$290.58	$290.58	$290.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.93 / $290.58 / $459.20	Professional		$219.93	$290.58	$459.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $274.36 / $498.81	Professional		$254.75	$274.36	$498.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.29 / $401.19 / $597.76	Professional		$275.29	$401.19	$597.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $346.76 / $622.17	Professional		$243.39	$346.76	$622.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.06 / $264.27 / $405.21	Facility		$239.06	$264.27	$405.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $298.00 / $569.32	Professional		$180.26	$298.00	$569.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $394.36 / $591.90	Professional		$269.20	$394.36	$591.90
United Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $257.02 / $455.16	Professional		$208.01	$257.02	$455.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $675.08 / $1,459.15 / $1,459.15	Facility		$675.08	$1,459.15	$1,459.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $1,893.50 / $2,394.44	Professional		$1,893.50	$1,893.50	$2,394.44