Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.17 / $465.17 / $802.45	Facility		$465.17	$465.17	$802.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.81 / $465.17 / $465.17	Professional		$226.81	$465.17	$465.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.12 / $478.12 / $478.12	Professional		$478.12	$478.12	$478.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.93 / $788.01 / $970.46	Facility		$483.93	$788.01	$970.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $398.43 / $398.43	Professional		$302.81	$398.43	$398.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $328.61	Facility		$313.79	$313.79	$328.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $652.88	Professional		$229.07	$313.79	$652.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $465.17 / $604.72	Facility		$161.74	$465.17	$604.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $299.00 / $364.00	Professional		$299.00	$299.00	$364.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $718.70 / $718.70 / $1,105.00	Professional		$718.70	$718.70	$1,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.26 / $265.02 / $415.79	Professional		$202.26	$265.02	$415.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $898.34 / $3,180.46 / $3,180.46	Facility		$898.34	$3,180.46	$3,180.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,856.95 / $3,856.95 / $4,491.68	Professional		$3,856.95	$3,856.95	$4,491.68