Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $912.01	Professional		$416.87	$501.19	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $512.86	Professional		$467.74	$467.74	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,148.15	Professional		$501.19	$831.76	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,122.02	Professional		$467.74	$660.69	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $912.01	Facility		$467.74	$588.84	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,000.00	Professional		$660.69	$794.33	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $851.14	Professional		$380.19	$501.19	$851.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,073.80	Professional		$3,630.78	$3,630.78	$4,073.80