Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.05 / $796.64 / $7,278.00	Facility		$380.05	$796.64	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.55 / $437.71 / $686.10	Professional		$357.55	$437.71	$686.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.43 / $446.43 / $446.43	Professional		$446.43	$446.43	$446.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.80 / $545.14 / $1,065.59	Professional		$391.80	$545.14	$1,065.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.86 / $559.82 / $1,089.18	Professional		$428.86	$559.82	$1,089.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.05 / $540.73 / $771.07	Facility		$380.05	$540.73	$771.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $621.14	Professional		$600.00	$600.00	$621.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $507.44 / $787.76	Professional		$315.02	$507.44	$787.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $499.15 / $1,098.13	Professional		$420.66	$499.15	$1,098.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,647.86 / $2,647.86 / $16,394.00	Facility		$2,647.86	$2,647.86	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,798.72 / $3,636.16 / $4,258.28	Professional		$2,798.72	$3,636.16	$4,258.28