Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $4,168.69	Facility		$489.78	$776.25	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $1,047.13	Professional		$288.40	$467.74	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $891.25	Professional		$213.80	$407.38	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,148.15	Professional		$389.05	$512.86	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,047.13	Professional		$398.11	$588.84	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Professional		$776.25	$776.25	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $741.31	Facility		$323.59	$489.78	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $776.25	Professional		$478.63	$524.81	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $758.58 / $1,949.84	Facility		$363.08	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $851.14	Professional		$316.23	$467.74	$851.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $45,708.82	Facility		$2,290.87	$2,290.87	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,168.69	Professional		$3,548.13	$3,548.13	$4,168.69