Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $489.05 / $997.01	Facility		$157.47	$489.05	$997.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $157.47 / $479.27	Professional		$75.15	$157.47	$479.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $233.79 / $402.22	Professional		$233.79	$233.79	$402.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $251.38 / $565.61	Professional		$91.10	$251.38	$565.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $310.98 / $310.98	Facility		$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $266.98 / $514.54	Professional		$133.86	$266.98	$514.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $226.77 / $314.58	Facility		$148.74	$226.77	$314.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $249.02 / $314.58	Professional		$249.02	$249.02	$314.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.79 / $413.37 / $540.57	Professional		$248.79	$413.37	$540.57
United Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $90.21 / $228.10	Professional		$67.80	$90.21	$228.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $507.25 / $561.47 / $1,517.72	Facility		$507.25	$561.47	$1,517.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,429.87 / $2,356.05 / $2,356.05	Professional		$1,429.87	$2,356.05	$2,356.05