Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $478.63	Professional		$269.15	$389.05	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $575.44	Professional		$331.13	$478.63	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,258.93	Facility		$524.81	$630.96	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $489.78	Professional		$478.63	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $457.09	Facility		$281.84	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $489.78	Professional		$338.84	$338.84	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $446.68	Professional		$380.19	$407.38	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $933.25	Facility		$263.03	$524.81	$933.25
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 $251.19 / $457.09 / $512.86	Facility		$251.19	$457.09	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $467.74	Professional		$251.19	$316.23	$467.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,570.88	Professional		$3,981.07	$3,981.07	$4,570.88