Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.90 / $338.90 / $687.76	Facility		$338.90	$338.90	$687.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $338.90 / $338.90	Professional		$203.69	$338.90	$338.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.80 / $409.80 / $409.80	Professional		$409.80	$409.80	$409.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.79 / $675.41 / $831.79	Facility		$414.79	$675.41	$831.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $341.50 / $375.65	Professional		$317.00	$341.50	$375.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.64 / $293.77 / $293.77	Facility		$281.64	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $553.88	Professional		$214.45	$293.77	$553.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $338.90 / $514.28	Facility		$136.24	$338.90	$514.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $256.00 / $320.00	Professional		$256.00	$256.00	$320.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.60 / $507.60 / $780.50	Professional		$507.60	$507.60	$780.50
United Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $227.15 / $329.37	Professional		$175.86	$227.15	$329.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $935.48 / $2,679.00 / $2,679.00	Facility		$935.48	$2,679.00	$2,679.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,028.01 / $3,028.01 / $3,172.50	Professional		$3,028.01	$3,028.01	$3,172.50