Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $549.54	Professional		$281.84	$426.58	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,318.26	Facility		$616.60	$977.24	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $549.54	Professional		$489.78	$501.19	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $407.38	Facility		$295.12	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $588.84	Professional		$302.00	$302.00	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $436.52	Professional		$398.11	$426.58	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $549.54 / $954.99	Facility		$281.84	$549.54	$954.99
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 $251.19 / $489.78 / $524.81	Facility		$251.19	$489.78	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $501.19	Professional		$275.42	$331.13	$501.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,248.07	Professional		$4,265.80	$4,265.80	$5,248.07