Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.92 / $654.59 / $3,670.53	Facility		$417.92	$654.59	$3,670.53
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $362.16 / $394.91 / $622.51	Facility	54	$362.16	$394.91	$622.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $526.54 / $978.34	Professional		$455.06	$526.54	$978.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.49 / $335.49 / $661.15	Professional		$335.49	$335.49	$661.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $802.24 / $1,362.24	Professional		$542.66	$802.24	$1,362.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.29 / $719.49 / $1,302.38	Professional		$537.29	$719.49	$1,302.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.88 / $638.71 / $1,047.81	Facility		$482.88	$638.71	$1,047.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $664.00 / $708.00	Professional		$378.00	$664.00	$708.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.89 / $827.23 / $1,022.38	Professional		$706.89	$827.23	$1,022.38
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 $452.22 / $634.17 / $1,415.14	Professional		$452.22	$634.17	$1,415.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,294.60 / $2,543.71 / $12,000.00	Facility		$2,294.60	$2,543.71	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $895.27 / $1,780.60 / $1,780.60	Facility	54	$895.27	$1,780.60	$1,780.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,609.44 / $3,955.44 / $4,707.14	Professional		$3,609.44	$3,955.44	$4,707.14