Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $831.76	Professional		$380.19	$489.78	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,905.46	Facility		$794.33	$954.99	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $812.83	Professional		$724.44	$741.31	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $588.84	Facility		$426.58	$501.19	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $707.95	Professional		$363.08	$363.08	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $562.34	Professional		$363.08	$389.05	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $831.76 / $1,318.26	Facility		$338.84	$831.76	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $776.25	Facility		$263.03	$389.05	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $660.69	Professional		$323.59	$457.09	$660.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,754.40	Professional		$5,128.61	$5,128.61	$5,754.40