Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $392.50 / $796.58	Facility		$392.50	$392.50	$796.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $392.50 / $392.50	Professional		$265.10	$392.50	$392.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.52 / $474.62 / $474.62	Professional		$395.52	$474.62	$474.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.81 / $507.37 / $963.37	Facility		$422.81	$507.37	$963.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $395.52 / $395.52	Professional		$300.60	$395.52	$395.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $329.53 / $329.53	Facility		$326.20	$329.53	$329.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $611.25	Professional		$240.56	$329.53	$611.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.85 / $392.50 / $624.78	Facility		$169.85	$392.50	$624.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $370.00	Professional		$297.00	$297.00	$370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $843.80 / $843.80 / $1,297.30	Professional		$843.80	$843.80	$1,297.30
United Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $263.08 / $412.75	Professional		$219.25	$263.08	$412.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,054.73 / $2,777.21 / $2,777.21	Facility		$1,054.73	$2,777.21	$2,777.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,480.59 / $3,480.59 / $5,273.63	Professional		$3,480.59	$3,480.59	$5,273.63