Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.99 / $473.99 / $961.95	Facility		$473.99	$473.99	$961.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $473.99 / $473.99	Professional		$284.89	$473.99	$473.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $477.63 / $477.63	Professional		$477.63	$477.63	$477.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.16 / $944.66 / $1,163.36	Facility		$580.16	$944.66	$1,163.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $477.63 / $477.63	Professional		$363.00	$477.63	$477.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.93 / $397.94 / $397.94	Facility		$393.93	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $738.38	Professional		$290.50	$397.94	$738.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $473.99 / $754.48	Facility		$205.11	$473.99	$754.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $447.00	Professional		$358.00	$358.00	$447.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $764.20 / $764.20 / $1,175.00	Professional		$764.20	$764.20	$1,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.10 / $317.70 / $498.44	Professional		$244.10	$317.70	$498.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,273.68 / $3,385.23 / $3,385.23	Facility		$1,273.68	$3,385.23	$3,385.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,203.14 / $4,203.14 / $4,776.30	Professional		$4,203.14	$4,203.14	$4,776.30