Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.71 / $5,724.00 / $6,953.60	Facility		$667.71	$5,724.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $487.87 / $970.24	Professional		$434.01	$487.87	$970.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $611.72 / $611.72 / $611.72	Professional		$611.72	$611.72	$611.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.14 / $946.79 / $1,709.95	Professional		$614.14	$946.79	$1,709.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $825.10 / $1,188.83	Professional		$551.91	$825.10	$1,188.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $452.64 / $746.00 / $1,192.84	Facility		$452.64	$746.00	$1,192.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $583.00 / $631.37	Professional		$579.00	$583.00	$631.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $613.00 / $1,295.09	Professional		$3.00	$613.00	$1,295.09
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.31 / $690.19 / $1,178.96	Professional		$409.31	$690.19	$1,178.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,748.92 / $6,817.20 / $26,542.00	Facility		$1,748.92	$6,817.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,999.45 / $4,977.24 / $4,977.24	Professional		$3,999.45	$4,977.24	$4,977.24