Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.88 / $478.88 / $826.11	Facility		$478.88	$478.88	$826.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.98 / $478.88 / $478.88	Professional		$246.98	$478.88	$478.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.17 / $435.91 / $492.20	Professional		$410.17	$435.91	$492.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.22 / $811.23 / $999.05	Facility		$498.22	$811.23	$999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.73 / $410.17 / $410.17	Professional		$311.73	$410.17	$410.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.30 / $361.45 / $361.45	Facility		$338.30	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $788.63	Professional		$263.86	$361.45	$788.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $478.88 / $622.54	Facility		$164.30	$478.88	$622.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $384.00	Professional		$308.00	$308.00	$384.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $705.90 / $705.90 / $1,085.20	Professional		$705.90	$705.90	$1,085.20
United Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $272.83 / $420.44	Professional		$208.22	$272.83	$420.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $891.04 / $3,230.86 / $3,230.86	Facility		$891.04	$3,230.86	$3,230.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,573.05 / $3,573.05 / $4,411.58	Professional		$3,573.05	$3,573.05	$4,411.58