Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.85 / $828.60 / $4,444.77	Facility		$490.85	$828.60	$4,444.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.57 / $574.27 / $629.64	Facility	54	$377.57	$574.27	$629.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.42 / $583.29 / $1,250.20	Professional		$503.42	$583.29	$1,250.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $628.91 / $685.82 / $731.12	Professional		$628.91	$685.82	$731.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.75 / $969.72 / $1,468.52	Professional		$608.75	$969.72	$1,468.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,438.74	Facility		$606.10	$606.10	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.57 / $750.10 / $1,354.51	Professional		$563.57	$750.10	$1,354.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $503.42 / $641.04 / $1,126.04	Facility		$503.42	$641.04	$1,126.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $671.00 / $733.01	Professional		$579.00	$671.00	$733.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $735.30 / $838.87 / $1,066.08	Professional		$735.30	$838.87	$1,066.08
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $647.17 / $1,306.84	Professional		$466.69	$647.17	$1,306.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,406.08 / $2,678.10 / $26,542.00	Facility		$2,406.08	$2,678.10	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $939.82 / $1,874.67 / $1,874.67	Facility	54	$939.82	$1,874.67	$1,874.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,783.20 / $4,012.32 / $4,775.47	Professional		$3,783.20	$4,012.32	$4,775.47