Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $776.25 / $7,244.36	Facility		$446.68	$776.25	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,584.89	Professional		$309.03	$512.86	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,148.15	Professional		$316.23	$537.03	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,047.13	Professional		$354.81	$549.54	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Professional		$616.60	$616.60	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $851.14	Facility		$323.59	$512.86	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,174.90	Professional		$741.31	$933.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $6,606.93	Facility		$1,202.26	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $870.96	Professional		$288.40	$457.09	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16