Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $294.58 / $597.88	Facility		$294.58	$294.58	$597.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $294.58 / $294.58	Professional		$164.88	$294.58	$294.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.85 / $296.85 / $296.85	Professional		$296.85	$296.85	$296.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.59 / $587.12 / $723.06	Facility		$360.59	$587.12	$723.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.17 / $296.85 / $316.64	Professional		$267.17	$296.85	$316.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.84 / $296.00 / $296.00	Facility		$244.84	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $489.00	Professional		$216.08	$296.00	$489.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $294.58 / $441.34	Facility		$121.95	$294.58	$441.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $223.00 / $293.76	Professional		$223.00	$223.00	$293.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $465.80 / $465.80 / $716.20	Professional		$465.80	$465.80	$716.20
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $197.46 / $322.52	Professional		$157.43	$197.46	$322.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $757.31 / $2,177.31 / $2,177.31	Facility		$757.31	$2,177.31	$2,177.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,200.21 / $2,200.21 / $2,911.43	Professional		$2,200.21	$2,200.21	$2,911.43