Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $269.15	Professional		$151.36	$229.09	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $316.23	Professional		$173.78	$263.03	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $346.74 / $691.83	Facility		$288.40	$346.74	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $295.12	Professional		$263.03	$263.03	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $234.42	Facility		$154.88	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $275.42	Professional		$169.82	$169.82	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $275.42	Professional		$213.80	$229.09	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $524.81	Facility		$151.36	$295.12	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $275.42	Facility		$131.83	$263.03	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $269.15	Professional		$144.54	$173.78	$269.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,311.31	Professional		$2,290.87	$2,290.87	$3,311.31