Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.67 / $2,320.44 / $7,278.00	Facility		$637.67	$2,320.44	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.32 / $734.87 / $1,573.37	Professional		$577.32	$734.87	$1,573.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $669.35 / $669.35 / $669.35	Professional		$669.35	$669.35	$669.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.22 / $844.66 / $1,748.85	Professional		$650.22	$844.66	$1,748.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.46 / $842.23 / $1,622.43	Professional		$656.46	$842.23	$1,622.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $601.59 / $833.87 / $1,121.15	Facility		$601.59	$833.87	$1,121.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $932.46	Professional		$600.00	$600.00	$932.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,816.63 / $3,816.63 / $3,816.63	Facility		$3,816.63	$3,816.63	$3,816.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.57 / $1,105.57 / $1,341.90	Professional		$1,105.57	$1,105.57	$1,341.90
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 $609.52 / $739.05 / $1,735.12	Professional		$609.52	$739.05	$1,735.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,308.12 / $4,308.12 / $16,394.00	Facility		$4,308.12	$4,308.12	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,557.35 / $5,540.32 / $6,432.90	Professional		$4,557.35	$5,540.32	$6,432.90