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 $218.58 / $290.20 / $498.46	Professional		$218.58	$290.20	$498.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.39 / $144.01 / $171.35	Professional	52	$110.39	$144.01	$171.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $274.36 / $408.71	Professional		$254.75	$274.36	$408.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $404.99 / $596.23	Professional		$273.93	$404.99	$596.23
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 $242.70 / $343.09 / $618.83	Professional		$242.70	$343.09	$618.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $267.42 / $406.81	Facility		$240.50	$267.42	$406.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $298.00 / $568.44	Professional		$177.98	$298.00	$568.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.10 / $394.36 / $591.90	Professional		$252.10	$394.36	$591.90
United Facility/Professional Professional Modifier Low / Median / High Price $206.96 / $257.42 / $454.52	Professional		$206.96	$257.42	$454.52
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