Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.77 / $472.77 / $959.47	Facility		$472.77	$472.77	$959.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $472.77 / $472.77	Professional		$328.03	$472.77	$472.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $444.64 / $571.67 / $571.67	Professional		$444.64	$571.67	$571.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.26 / $611.11 / $1,160.36	Facility		$509.26	$611.11	$1,160.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.06 / $476.40 / $476.40	Professional		$362.06	$476.40	$476.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.91 / $459.90 / $459.90	Facility		$392.91	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $335.73 / $802.13	Professional		$314.33	$335.73	$802.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $472.77 / $752.54	Facility		$195.32	$472.77	$752.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $357.00 / $446.00	Professional		$357.00	$357.00	$446.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $725.80 / $725.80 / $1,118.90	Professional		$725.80	$725.80	$1,118.90
United Facility/Professional Professional Modifier Low / Median / High Price $243.47 / $316.89 / $479.03	Professional		$243.47	$316.89	$479.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,162.33 / $3,426.22 / $3,426.22	Facility		$1,162.33	$3,426.22	$3,426.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,002.47 / $4,002.47 / $4,548.22	Professional		$4,002.47	$4,002.47	$4,548.22