Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.11 / $944.74 / $10,561.00	Facility		$587.11	$944.74	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $619.47 / $1,149.42	Professional		$549.00	$619.47	$1,149.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $569.65 / $629.49 / $631.86	Professional		$569.65	$629.49	$631.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.62 / $972.16 / $1,580.17	Professional		$688.62	$972.16	$1,580.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.45 / $854.26 / $1,489.46	Professional		$652.45	$854.26	$1,489.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.11 / $820.62 / $1,326.87	Facility		$587.11	$820.62	$1,326.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $742.00 / $787.00	Professional		$716.00	$742.00	$787.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $802.20 / $1,590.60	Professional		$3.00	$802.20	$1,590.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,470.62 / $9,447.00 / $14,257.00	Facility		$2,470.62	$9,447.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.11 / $756.15 / $1,575.12	Professional		$516.11	$756.15	$1,575.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,271.80 / $8,957.00 / $26,542.00	Facility		$2,271.80	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,307.00 / $6,307.00 / $6,307.00	Professional		$6,307.00	$6,307.00	$6,307.00