Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.42 / $335.42 / $335.42	Facility		$335.42	$335.42	$335.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $335.42 / $335.42	Professional		$140.94	$335.42	$335.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $270.98 / $454.93	Professional		$270.98	$270.98	$454.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.47 / $487.77 / $699.78	Facility		$406.47	$487.77	$699.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $303.33 / $333.67	Professional		$281.58	$303.33	$333.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $353.25	Professional		$220.10	$301.51	$353.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $335.42 / $402.50	Facility		$99.73	$335.42	$402.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $389.74 / $389.74	Professional		$389.74	$389.74	$389.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.39 / $511.46 / $535.76	Professional		$327.39	$511.46	$535.76
United Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $246.22 / $350.77	Professional		$165.62	$246.22	$350.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $483.01 / $1,352.24 / $1,352.24	Facility		$483.01	$1,352.24	$1,352.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,066.44 / $2,066.44 / $2,066.44	Professional		$2,066.44	$2,066.44	$2,066.44