Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.84 / $890.84 / $1,536.75	Facility		$890.84	$890.84	$1,536.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.21 / $890.84 / $890.84	Professional		$404.21	$890.84	$890.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.02 / $915.62 / $915.62	Professional		$763.02	$915.62	$915.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.81 / $1,509.11 / $1,858.51	Facility		$926.81	$1,509.11	$1,858.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.29 / $763.02 / $813.89	Professional		$708.29	$763.02	$813.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $1,466.25	Professional		$518.38	$518.38	$1,466.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $890.84 / $1,158.08	Facility		$291.14	$890.84	$1,158.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $612.00 / $691.73	Professional		$612.00	$612.00	$691.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.09 / $1,185.09 / $1,822.20	Professional		$1,185.09	$1,185.09	$1,822.20
United Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $503.02 / $735.95	Professional		$373.25	$503.02	$735.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,589.63 / $4,711.96 / $4,711.96	Facility		$1,589.63	$4,711.96	$4,711.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,094.49 / $5,094.49 / $7,407.15	Professional		$5,094.49	$5,094.49	$7,407.15