Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.54 / $323.54 / $656.63	Facility		$323.54	$323.54	$656.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $323.54 / $323.54	Professional		$195.50	$323.54	$323.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $391.23 / $391.23	Professional		$391.23	$391.23	$391.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.54 / $418.24 / $794.11	Facility		$348.54	$418.24	$794.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.78 / $326.02 / $326.02	Professional		$247.78	$326.02	$326.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $281.20 / $281.20	Facility		$268.89	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $504.00	Professional		$205.28	$281.20	$504.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $323.54 / $511.31	Facility		$140.00	$323.54	$511.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $244.00 / $305.00	Professional		$244.00	$244.00	$305.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $570.70 / $877.40	Professional		$570.70	$570.70	$877.40
United Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $216.86 / $340.22	Professional		$180.72	$216.86	$340.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $869.40 / $2,318.40 / $2,318.40	Facility		$869.40	$2,318.40	$2,318.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,886.41 / $2,886.41 / $3,566.63	Professional		$2,886.41	$2,886.41	$3,566.63