Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.76 / $808.76 / $1,395.12	Facility		$808.76	$808.76	$1,395.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $808.76 / $808.76	Professional		$423.23	$808.76	$808.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.27 / $831.27 / $831.27	Professional		$831.27	$831.27	$831.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.50 / $888.60 / $1,687.28	Facility		$740.50	$888.60	$1,687.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.47 / $692.72 / $692.72	Professional		$526.47	$692.72	$692.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $571.33	Facility		$544.74	$544.74	$571.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $966.75	Professional		$397.66	$544.74	$966.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $804.58 / $1,051.39	Facility		$258.19	$804.58	$1,051.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $519.00 / $627.99	Professional		$519.00	$519.00	$627.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.90 / $1,275.90 / $1,961.70	Professional		$1,275.90	$1,275.90	$1,961.70
United Facility/Professional Professional Modifier Low / Median / High Price $331.01 / $456.67 / $650.59	Professional		$331.01	$456.67	$650.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,594.88 / $4,222.76 / $4,222.76	Facility		$1,594.88	$4,222.76	$4,222.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,103.60 / $5,103.60 / $7,974.38	Professional		$5,103.60	$5,103.60	$7,974.38