Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $933.25	Professional		$489.78	$724.44	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,238.72	Facility		$1,047.13	$1,659.59	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $707.95	Facility		$501.19	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $912.01	Professional		$512.86	$512.86	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $851.14	Professional		$524.81	$562.34	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $1,621.81	Facility		$478.63	$954.99	$1,621.81
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 $467.74 / $851.14 / $891.25	Facility		$467.74	$851.14	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $870.96	Professional		$467.74	$562.34	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $9,120.11	Professional		$6,760.83	$6,760.83	$9,120.11