Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.77 / $566.77 / $1,150.24	Facility		$566.77	$566.77	$1,150.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.66 / $566.77 / $566.77	Professional		$340.66	$566.77	$566.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $685.34 / $685.34 / $685.34	Professional		$685.34	$685.34	$685.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.69 / $1,129.57 / $1,391.09	Facility		$693.69	$1,129.57	$1,391.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.05 / $571.12 / $571.12	Professional		$434.05	$571.12	$571.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $471.03	Facility		$448.56	$448.56	$471.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $817.88	Professional		$327.45	$448.56	$817.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $566.77 / $857.54	Facility		$227.22	$566.77	$857.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $428.00 / $535.00	Professional		$428.00	$428.00	$535.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $844.00 / $1,301.70	Professional		$844.00	$844.00	$1,301.70
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $379.90 / $550.85	Professional		$293.30	$379.90	$550.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,373.35 / $4,468.09 / $4,468.09	Facility		$1,373.35	$4,468.09	$4,468.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,656.22 / $4,656.22 / $5,291.18	Professional		$4,656.22	$4,656.22	$5,291.18