Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.76 / $263.76 / $455.00	Facility		$263.76	$263.76	$455.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $263.76 / $263.76	Professional		$139.57	$263.76	$263.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $225.92 / $225.92	Professional		$225.92	$225.92	$225.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.51 / $289.81 / $550.28	Facility		$241.51	$289.81	$550.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $225.92 / $225.92	Professional		$171.70	$225.92	$225.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.33 / $188.22 / $188.22	Facility		$186.33	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $349.13	Professional		$137.40	$188.22	$349.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $263.76 / $352.47	Facility		$97.02	$263.76	$352.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $169.00 / $204.81	Professional		$169.00	$169.00	$204.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $482.00 / $741.00	Professional		$482.00	$482.00	$741.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $150.28 / $229.97	Professional		$115.46	$150.28	$229.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $602.45 / $1,907.74 / $1,907.74	Facility		$602.45	$1,907.74	$1,907.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,303.42 / $2,303.42 / $3,012.23	Professional		$2,303.42	$2,303.42	$3,012.23