Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $912.01 / $4,265.80	Facility		$426.58	$912.01	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,202.26	Professional		$416.87	$537.03	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $954.99	Professional		$269.15	$537.03	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,258.93	Professional		$501.19	$741.31	$1,258.93
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 $467.74 / $645.65 / $1,096.48	Professional		$467.74	$645.65	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,148.15	Professional		$794.33	$794.33	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Facility		$436.52	$602.56	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,047.13	Professional		$630.96	$741.31	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $4,073.80	Facility		$891.25	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $933.25	Professional		$380.19	$512.86	$933.25
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 $3,630.78 / $3,630.78 / $4,365.16	Professional		$3,630.78	$3,630.78	$4,365.16