Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.77 / $324.77 / $659.14	Facility		$324.77	$324.77	$659.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.13 / $324.77 / $324.77	Professional		$217.13	$324.77	$324.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.27 / $392.73 / $392.73	Professional		$327.27	$392.73	$392.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.51 / $647.28 / $797.14	Facility		$397.51	$647.28	$797.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $327.27 / $327.27	Professional		$248.73	$327.27	$327.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $558.75	Professional		$227.60	$311.77	$558.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $324.77 / $513.25	Facility		$140.54	$324.77	$513.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $307.00	Professional		$245.00	$245.00	$307.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $605.00 / $930.20	Professional		$605.00	$605.00	$930.20
United Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $218.62 / $341.52	Professional		$181.41	$218.62	$341.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $872.72 / $2,370.48 / $2,370.48	Facility		$872.72	$2,370.48	$2,370.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,879.96 / $2,879.96 / $3,781.20	Professional		$2,879.96	$2,879.96	$3,781.20