Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.38 / $527.38 / $909.75	Facility		$527.38	$527.38	$909.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.48 / $527.38 / $527.38	Professional		$275.48	$527.38	$527.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $421.60 / $542.04	Professional		$421.60	$421.60	$542.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.87 / $579.45 / $1,100.25	Facility		$482.87	$579.45	$1,100.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.30 / $451.71 / $451.71	Professional		$343.30	$451.71	$451.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.56 / $372.88 / $372.88	Facility		$372.56	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $680.25	Professional		$272.20	$372.88	$680.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $527.38 / $685.59	Facility		$179.44	$527.38	$685.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $339.00 / $409.51	Professional		$339.00	$339.00	$409.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $848.70 / $848.70 / $1,304.90	Professional		$848.70	$848.70	$1,304.90
United Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $300.47 / $471.38	Professional		$230.85	$300.47	$471.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,060.84 / $3,528.63 / $3,528.63	Facility		$1,060.84	$3,528.63	$3,528.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,565.78 / $3,565.78 / $5,304.23	Professional		$3,565.78	$3,565.78	$5,304.23