Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $7,585.78	Facility		$489.78	$1,698.24	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,584.89	Professional		$323.59	$575.44	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $851.14	Professional		$177.83	$354.81	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,380.38	Professional		$363.08	$676.08	$1,380.38
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 $389.05 / $630.96 / $1,096.48	Professional		$389.05	$630.96	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Professional		$1,023.29	$1,023.29	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $977.24	Facility		$338.84	$562.34	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,071.52	Professional		$478.63	$776.25	$1,071.52
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 $302.00 / $501.19 / $933.25	Professional		$302.00	$501.19	$933.25
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 $3,981.07 / $3,981.07 / $4,677.35	Professional		$3,981.07	$3,981.07	$4,677.35