Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $741.31 / $4,265.80	Facility		$426.58	$741.31	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,258.93	Professional		$457.09	$575.44	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $676.08	Professional		$524.81	$524.81	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,380.38	Professional		$537.03	$741.31	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,230.27	Professional		$512.86	$707.95	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,258.93	Professional		$851.14	$851.14	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,023.29	Facility		$501.19	$676.08	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,148.15	Professional		$707.95	$831.76	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $6,606.93	Facility		$1,202.26	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,047.13	Professional		$426.58	$562.34	$1,047.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,677.35	Professional		$3,981.07	$3,981.07	$4,677.35