Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.04 / $745.04 / $745.04	Facility		$745.04	$745.04	$745.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $745.04 / $745.04	Professional		$417.80	$745.04	$745.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $572.27 / $608.60	Professional		$572.27	$572.27	$608.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.67 / $1,139.60 / $1,554.33	Facility		$949.67	$1,139.60	$1,554.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.40 / $681.27 / $749.40	Professional		$632.40	$681.27	$749.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $647.80	Facility		$621.29	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $892.03	Professional		$472.90	$472.90	$892.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.36 / $745.04 / $904.06	Facility		$406.36	$745.04	$904.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $904.06 / $904.06 / $904.06	Professional		$904.06	$904.06	$904.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $662.21 / $852.60 / $1,175.26	Professional		$662.21	$852.60	$1,175.26
United Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $542.44 / $813.65	Professional		$366.85	$542.44	$813.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,207.57 / $3,006.95 / $3,006.95	Facility		$1,207.57	$3,006.95	$3,006.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,196.00 / $4,633.35 / $4,633.35	Professional		$4,196.00	$4,633.35	$4,633.35