Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $512.86	Professional		$245.47	$331.13	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,174.90	Facility		$562.34	$870.96	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $478.63	Professional		$436.52	$446.68	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $416.87	Professional		$107.15	$239.88	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $446.68 / $776.25	Facility		$123.03	$446.68	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $575.44 / $602.56	Professional		$0.60	$575.44	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $467.74	Facility		$181.97	$263.03	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $436.52	Professional		$218.78	$288.40	$436.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,691.53 / $2,691.53	Facility		$107.15	$2,691.53	$2,691.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $4,265.80	Professional		$2,951.21	$4,265.80	$4,265.80