Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $776.25	Professional		$407.38	$645.65	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $954.99	Professional		$660.69	$707.95	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $1,862.09	Facility		$776.25	$933.25	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $794.33	Professional		$707.95	$724.44	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $588.84	Facility		$416.87	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $758.58	Professional		$426.58	$426.58	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $676.08	Professional		$575.44	$630.96	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,380.38	Facility		$398.11	$794.33	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $758.58	Facility		$389.05	$707.95	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $724.44	Professional		$389.05	$467.74	$724.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,943.28	Professional		$6,165.95	$6,165.95	$7,943.28