Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.10 / $448.10 / $909.42	Facility		$448.10	$448.10	$909.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $448.10 / $448.10	Professional		$269.33	$448.10	$448.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $541.85 / $541.85 / $541.85	Professional		$541.85	$541.85	$541.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.46 / $893.06 / $1,099.83	Facility		$548.46	$893.06	$1,099.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.17 / $451.54 / $451.54	Professional		$343.17	$451.54	$451.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.41 / $382.03 / $382.03	Facility		$372.41	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $697.88	Professional		$278.88	$382.03	$697.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $448.10 / $713.27	Facility		$193.91	$448.10	$713.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $339.00 / $423.00	Professional		$339.00	$339.00	$423.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $784.80 / $784.80 / $1,206.70	Professional		$784.80	$784.80	$1,206.70
United Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $301.63 / $471.21	Professional		$235.18	$301.63	$471.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,139.89 / $3,210.96 / $3,210.96	Facility		$1,139.89	$3,210.96	$3,210.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,997.65 / $3,997.65 / $4,905.30	Professional		$3,997.65	$3,997.65	$4,905.30