Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $794.33	Facility		$407.38	$741.31	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $407.38	Professional		$177.83	$245.47	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $933.25	Facility		$389.05	$467.74	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $398.11	Professional		$354.81	$363.08	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $288.40	Facility		$208.93	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $331.13	Professional		$213.80	$213.80	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $251.19	Professional		$186.21	$199.53	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $660.69	Facility		$173.78	$407.38	$660.69
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 $125.89 / $186.21 / $371.54	Facility		$125.89	$186.21	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $323.59	Professional		$154.88	$223.87	$323.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78