Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.54 / $368.54 / $635.78	Facility		$368.54	$368.54	$635.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $368.54 / $368.54	Professional		$175.64	$368.54	$368.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.99 / $281.99 / $315.66	Professional		$281.99	$281.99	$315.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.45 / $404.94 / $768.86	Facility		$337.45	$404.94	$768.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $315.66 / $315.66	Professional		$239.90	$315.66	$315.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.37 / $315.73 / $315.73	Facility		$260.37	$315.73	$315.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $630.00	Professional		$230.48	$315.73	$630.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $368.54 / $479.10	Facility		$134.44	$368.54	$479.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $237.00 / $286.19	Professional		$237.00	$237.00	$286.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $548.29 / $692.29 / $843.00	Professional		$548.29	$692.29	$843.00
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $208.59 / $323.57	Professional		$160.46	$208.59	$323.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $712.09 / $2,541.06 / $2,541.06	Facility		$712.09	$2,541.06	$2,541.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,567.81 / $2,567.81 / $3,426.83	Professional		$2,567.81	$2,567.81	$3,426.83