Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.44 / $901.00 / $7,439.00	Facility		$577.44	$901.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.44 / $608.16 / $1,079.54	Professional		$577.44	$608.16	$1,079.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $619.64 / $619.64	Professional		$619.64	$619.64	$619.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.02 / $959.17 / $1,553.55	Professional		$594.02	$959.17	$1,553.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $3,435.20	Facility		$530.04	$530.04	$3,435.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $866.16 / $1,467.93	Professional		$643.79	$866.16	$1,467.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $577.44 / $772.55 / $1,361.00	Facility		$577.44	$772.55	$1,361.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $690.00 / $769.00	Professional		$507.00	$690.00	$769.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $784.00 / $1,551.80	Professional		$3.00	$784.00	$1,551.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.42 / $738.03 / $1,590.90	Professional		$502.42	$738.03	$1,590.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,226.23 / $11,352.75 / $16,394.00	Facility		$2,226.23	$11,352.75	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,126.39 / $6,665.40 / $6,665.40	Professional		$5,126.39	$6,665.40	$6,665.40