Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $1,338.00 / $8,413.00	Facility		$561.27	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.77 / $591.11 / $1,051.35	Professional		$487.77	$591.11	$1,051.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $300.95 / $300.95	Professional		$300.95	$300.95	$300.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,221.47 / $3,221.47 / $4,603.08	Facility		$3,221.47	$3,221.47	$4,603.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.22 / $913.70 / $1,508.53	Professional		$624.22	$913.70	$1,508.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.89 / $813.82 / $1,425.30	Professional		$627.89	$813.82	$1,425.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $778.58 / $1,143.91	Facility		$561.27	$778.58	$1,143.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $701.00 / $749.00	Professional		$579.00	$701.00	$749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.74 / $839.74 / $960.48	Professional		$761.74	$839.74	$960.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,715.00 / $14,893.00 / $22,265.00	Facility		$2,715.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.61 / $710.74 / $1,350.38	Professional		$488.61	$710.74	$1,350.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,167.12 / $8,957.00 / $26,542.00	Facility		$2,167.12	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,188.96 / $4,188.96 / $4,991.55	Professional		$4,188.96	$4,188.96	$4,991.55