Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.44 / $1,278.65 / $9,683.83	Facility		$268.44	$1,278.65	$9,683.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $216.70 / $1,683.38	Professional		$172.56	$216.70	$1,683.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $155.41	Professional		$155.41	$155.41	$155.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.82 / $279.75 / $375.64	Facility		$159.82	$279.75	$375.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $175.80 / $279.75	Professional		$159.82	$175.80	$279.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $361.40	Facility		$166.46	$176.45	$361.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $437.32	Professional		$176.45	$176.45	$437.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $335.50 / $625.79	Facility		$176.45	$335.50	$625.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $262.00 / $514.34	Professional		$206.52	$262.00	$514.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $286.52 / $371.40	Professional		$280.83	$286.52	$371.40
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $220.56	Professional		$176.45	$187.04	$220.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $542.03 / $1,272.84 / $1,413.42	Facility		$542.03	$1,272.84	$1,413.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,475.46 / $2,475.46 / $2,475.46	Professional		$2,475.46	$2,475.46	$2,475.46