Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.22 / $400.22 / $812.24	Facility		$400.22	$400.22	$812.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.96 / $400.22 / $400.22	Professional		$214.96	$400.22	$400.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $403.29 / $403.29 / $403.29	Professional		$403.29	$403.29	$403.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.86 / $797.64 / $982.31	Facility		$489.86	$797.64	$982.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.50 / $403.29 / $403.29	Professional		$306.50	$403.29	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $332.62	Facility		$260.88	$260.88	$332.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $467.63	Professional		$190.44	$260.88	$467.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $400.22 / $605.54	Facility		$129.88	$400.22	$605.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $378.00	Professional		$302.00	$302.00	$378.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $480.30 / $480.30 / $744.10	Professional		$480.30	$480.30	$744.10
United Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $268.26 / $378.77	Professional		$201.20	$268.26	$378.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $818.68 / $2,486.48 / $2,486.48	Facility		$818.68	$2,486.48	$2,486.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,677.85 / $2,677.85 / $3,024.68	Professional		$2,677.85	$2,677.85	$3,024.68