Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.88 / $689.82 / $5,449.00	Facility		$444.88	$689.82	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $478.27 / $832.69	Professional		$403.44	$478.27	$832.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.55 / $274.55 / $508.95	Professional		$274.55	$274.55	$508.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.83 / $691.24 / $1,253.33	Professional		$477.83	$691.24	$1,253.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.61 / $638.42 / $1,154.77	Professional		$477.61	$638.42	$1,154.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $444.88 / $573.91 / $905.57	Facility		$444.88	$573.91	$905.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $589.00 / $644.00	Professional		$378.00	$589.00	$644.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $661.00 / $1,267.50	Professional		$3.00	$661.00	$1,267.50
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.12 / $554.57 / $1,130.98	Professional		$396.12	$554.57	$1,130.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,127.92 / $2,384.12 / $12,000.00	Facility		$2,127.92	$2,384.12	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,345.44 / $3,596.00 / $4,272.38	Professional		$3,345.44	$3,596.00	$4,272.38