Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.90 / $402.96 / $931.39	Facility		$395.90	$402.96	$931.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $402.96 / $508.04	Professional		$362.41	$402.96	$508.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $377.31 / $377.31 / $377.31	Professional		$377.31	$377.31	$377.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.42 / $452.77 / $1,271.39	Professional		$370.42	$452.77	$1,271.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.26 / $646.26 / $646.26	Facility		$646.26	$646.26	$646.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.24 / $604.44 / $1,101.93	Professional		$425.24	$604.44	$1,101.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $450.41 / $619.07	Facility		$367.72	$450.41	$619.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.93 / $495.25 / $561.00	Professional		$362.93	$495.25	$561.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.59 / $642.99 / $798.58	Professional		$371.59	$642.99	$798.58
United Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $515.40 / $1,039.08	Professional		$387.68	$515.40	$1,039.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $797.89 / $1,965.12 / $1,965.12	Facility		$797.89	$1,965.12	$1,965.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,505.33 / $3,260.25 / $10,080.00	Professional		$2,505.33	$3,260.25	$10,080.00