Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.06 / $219.06 / $444.59	Facility		$219.06	$219.06	$444.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $219.06 / $219.06	Professional		$130.68	$219.06	$219.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $264.89 / $264.89	Professional		$264.89	$264.89	$264.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.12 / $436.59 / $537.66	Facility		$268.12	$436.59	$537.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.76 / $220.74 / $220.74	Professional		$167.76	$220.74	$220.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $182.06	Facility		$166.52	$166.52	$182.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $376.88	Professional		$121.56	$166.52	$376.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $219.06 / $331.46	Facility		$85.83	$219.06	$331.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $207.00	Professional		$165.00	$165.00	$207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $348.30 / $535.60	Professional		$348.30	$348.30	$535.60
United Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $146.83 / $210.51	Professional		$112.82	$146.83	$210.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $546.07 / $1,389.02 / $1,389.02	Facility		$546.07	$1,389.02	$1,389.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,758.88 / $1,758.88 / $2,177.10	Professional		$1,758.88	$1,758.88	$2,177.10