Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.17 / $373.38 / $753.71	Facility		$167.17	$373.38	$753.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $322.44 / $332.11	Professional		$174.87	$322.44	$332.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $331.41 / $331.41	Professional		$331.41	$331.41	$331.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.50 / $546.22 / $672.69	Facility		$335.50	$546.22	$672.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $276.17 / $294.58	Professional		$256.36	$276.17	$294.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $269.00 / $369.07	Professional		$170.35	$269.00	$369.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $322.44 / $419.17	Facility		$117.58	$322.44	$419.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $276.74 / $276.74	Professional		$276.74	$276.74	$276.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.60 / $397.69 / $617.62	Professional		$359.60	$397.69	$617.62
United Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $182.42 / $350.49	Professional		$123.46	$182.42	$350.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $651.39 / $2,312.06 / $2,312.06	Facility		$651.39	$2,312.06	$2,312.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,605.37 / $3,256.95 / $3,256.95	Professional		$2,605.37	$3,256.95	$3,256.95