Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.30 / $529.30 / $1,074.24	Facility		$529.30	$529.30	$1,074.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $529.30 / $529.30	Professional		$318.14	$529.30	$529.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $640.05 / $640.05 / $640.05	Professional		$640.05	$640.05	$640.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.19 / $684.23 / $1,299.15	Facility		$570.19	$684.23	$1,299.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.12 / $533.38 / $586.72	Professional		$495.12	$533.38	$586.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $916.50	Professional		$321.24	$440.05	$916.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $529.30 / $800.88	Facility		$215.25	$529.30	$800.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $498.95	Professional		$398.00	$398.00	$498.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $802.00 / $1,233.09	Professional		$802.00	$802.00	$1,233.09
United Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $354.79 / $514.45	Professional		$272.58	$354.79	$514.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,328.34 / $3,722.67 / $3,722.67	Facility		$1,328.34	$3,722.67	$3,722.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,773.79 / $3,773.79 / $5,012.47	Professional		$3,773.79	$3,773.79	$5,012.47