Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $371.54	Professional		$162.18	$275.42	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $457.09	Professional		$117.49	$302.00	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $758.58	Facility		$416.87	$501.19	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $338.84	Professional		$302.00	$309.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $354.81	Professional		$218.78	$218.78	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $501.19	Facility		$151.36	$338.84	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $316.23	Facility		$154.88	$223.87	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $363.08	Professional		$173.78	$245.47	$363.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30