Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $7,244.36	Facility		$489.78	$1,258.93	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,348.96	Professional		$331.13	$501.19	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $1,318.26	Professional		$446.68	$870.96	$1,318.26
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 $426.58 / $660.69 / $1,071.52	Professional		$426.58	$660.69	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,148.15	Professional		$977.24	$977.24	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $588.84 / $977.24	Facility		$380.19	$588.84	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,122.02	Professional		$724.44	$912.01	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $6,606.93	Facility		$1,230.27	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $891.25	Professional		$338.84	$501.19	$891.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $28,840.32	Facility		$6,760.83	$6,760.83	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,265.80	Professional		$3,981.07	$3,981.07	$4,265.80