Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,311.31 / $3,715.35	Facility		$616.60	$3,311.31	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $380.19	Professional		$181.97	$239.88	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $660.69	Professional		$223.87	$331.13	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $891.25	Professional		$229.09	$407.38	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $446.68	Facility		$204.17	$263.03	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $870.96	Professional		$645.65	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $501.19	Professional		$199.53	$288.40	$501.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $2,344.23	Professional		$1,548.82	$2,344.23	$2,344.23