Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.76 / $482.76 / $482.76	Facility		$482.76	$482.76	$482.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.82 / $482.76 / $482.76	Professional		$261.82	$482.76	$482.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $369.38 / $650.00	Professional		$347.33	$369.38	$650.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.32 / $817.81 / $1,007.16	Facility		$524.32	$817.81	$1,007.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.83 / $413.49 / $444.11	Professional		$383.83	$413.49	$444.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $635.63	Professional		$274.27	$375.73	$635.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.79 / $482.76 / $579.30	Facility		$358.79	$482.76	$579.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $444.11 / $444.11 / $444.11	Professional		$444.11	$444.11	$444.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $642.20 / $642.20 / $642.20	Professional		$642.20	$642.20	$642.20
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $275.05 / $433.34	Professional		$203.66	$275.05	$433.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $921.30 / $2,563.00 / $2,563.00	Facility		$921.30	$2,563.00	$2,563.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,760.81 / $4,014.00 / $4,014.00	Professional		$2,760.81	$4,014.00	$4,014.00