Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.64 / $2,779.54 / $7,968.00	Facility		$308.64	$2,779.54	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $399.63 / $778.17	Professional		$280.43	$399.63	$778.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.03 / $395.03 / $395.03	Professional		$395.03	$395.03	$395.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.17 / $463.75 / $855.33	Professional		$299.17	$463.75	$855.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $432.11 / $934.64	Professional		$260.52	$432.11	$934.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.64 / $435.82 / $635.54	Facility		$308.64	$435.82	$635.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $523.54 / $600.00	Professional		$523.54	$523.54	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $435.24 / $698.43	Professional		$259.48	$435.24	$698.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $435.98 / $962.94	Professional		$323.62	$435.98	$962.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,559.76 / $1,559.76 / $16,394.00	Facility		$1,559.76	$1,559.76	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,271.76 / $3,221.36 / $3,791.10	Professional		$2,271.76	$3,221.36	$3,791.10