Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $316.23	Facility		$309.03	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $537.03	Professional		$288.40	$323.59	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $1,023.29	Professional		$288.40	$316.23	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $1,023.29	Professional		$263.03	$323.59	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $912.01	Professional		$309.03	$489.78	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $602.56	Facility		$302.00	$354.81	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $724.44	Professional		$288.40	$501.19	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $630.96	Professional		$295.12	$380.19	$630.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78