Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.89 / $283.89 / $576.16	Facility		$283.89	$283.89	$576.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $283.89 / $283.89	Professional		$192.42	$283.89	$283.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $343.29 / $343.29	Professional		$343.29	$343.29	$343.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $366.97 / $696.79	Facility		$305.81	$366.97	$696.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $286.07 / $286.07	Professional		$217.42	$286.07	$286.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.96 / $248.05 / $248.05	Facility		$235.96	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $442.13	Professional		$181.08	$248.05	$442.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $283.89 / $448.64	Facility		$122.85	$283.89	$448.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $268.00	Professional		$214.00	$214.00	$268.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $610.29 / $610.29 / $938.40	Professional		$610.29	$610.29	$938.40
United Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $191.10 / $298.54	Professional		$158.58	$191.10	$298.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $762.86 / $2,003.74 / $2,003.74	Facility		$762.86	$2,003.74	$2,003.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,517.42 / $2,517.42 / $3,814.28	Professional		$2,517.42	$2,517.42	$3,814.28