Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.36 / $248.36 / $504.05	Facility		$248.36	$248.36	$504.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $248.36 / $248.36	Professional		$149.28	$248.36	$248.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.31 / $300.31 / $300.31	Professional		$300.31	$300.31	$300.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.54 / $321.04 / $609.59	Facility		$267.54	$321.04	$609.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $250.26 / $250.26	Professional		$190.20	$250.26	$250.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $414.75	Professional		$153.00	$209.59	$414.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $248.36 / $392.49	Facility		$107.47	$248.36	$392.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $235.00	Professional		$188.00	$188.00	$235.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $473.70 / $728.40	Professional		$473.70	$473.70	$728.40
United Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $219.98 / $256.52	Facility		$128.27	$219.98	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $167.18 / $263.58	Professional		$138.72	$167.18	$263.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $667.37 / $1,729.07 / $1,729.07	Facility		$667.37	$1,729.07	$1,729.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,202.30 / $2,202.30 / $2,960.93	Professional		$2,202.30	$2,202.30	$2,960.93