Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $298.43 / $550.82	Facility		$238.25	$298.43	$550.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $298.43 / $422.00	Professional		$144.47	$298.43	$422.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.34 / $228.34 / $228.34	Professional		$228.34	$228.34	$228.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.26 / $327.91 / $622.59	Facility		$273.26	$327.91	$622.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.05 / $255.61 / $272.64	Professional		$230.05	$255.61	$272.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.82 / $229.50 / $229.50	Facility		$210.82	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $491.63	Professional		$167.54	$229.50	$491.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $298.43 / $400.86	Facility		$109.77	$298.43	$400.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $240.00	Professional		$192.00	$192.00	$240.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.60 / $467.60 / $719.00	Professional		$467.60	$467.60	$719.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $170.03 / $260.19	Professional		$130.63	$170.03	$260.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $615.55 / $2,158.44 / $2,158.44	Facility		$615.55	$2,158.44	$2,158.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $2,438.96 / $2,922.75	Professional		$2,438.96	$2,438.96	$2,922.75