Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.19 / $497.19 / $857.69	Facility		$497.19	$497.19	$857.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $497.19 / $497.19	Professional		$225.60	$497.19	$497.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.86 / $425.86 / $511.03	Professional		$425.86	$425.86	$511.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.23 / $546.28 / $1,037.27	Facility		$455.23	$546.28	$1,037.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $425.86 / $454.25	Professional		$395.31	$425.86	$454.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $654.75	Professional		$230.13	$315.25	$654.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $497.19 / $646.35	Facility		$162.49	$497.19	$646.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $341.00 / $386.07	Professional		$341.00	$341.00	$386.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $661.50 / $661.50 / $1,017.00	Professional		$661.50	$661.50	$1,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $280.75 / $410.74	Professional		$208.32	$280.75	$410.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $887.20 / $2,629.88 / $2,629.88	Facility		$887.20	$2,629.88	$2,629.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,843.18 / $2,843.18 / $4,134.08	Professional		$2,843.18	$2,843.18	$4,134.08