Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $524.81	Professional		$257.04	$363.08	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $457.09	Professional		$338.84	$457.09	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $1,202.26	Facility		$501.19	$602.56	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $501.19	Professional		$446.68	$457.09	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $371.54 / $371.54	Facility		$269.15	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $371.54	Professional		$263.03	$288.40	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $524.81 / $851.14	Facility		$251.19	$524.81	$851.14
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 $190.55 / $275.42 / $478.63	Facility		$190.55	$275.42	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $426.58	Professional		$229.09	$295.12	$426.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,248.07	Professional		$3,548.13	$3,548.13	$5,248.07