Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,230.27 / $7,244.36	Facility		$457.09	$1,230.27	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $912.01	Professional		$302.00	$467.74	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,737.80	Facility		$1,698.24	$1,698.24	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,174.90	Professional		$288.40	$575.44	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,000.00	Professional		$371.54	$562.34	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,148.15	Professional		$645.65	$645.65	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $831.76	Facility		$338.84	$512.86	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,071.52	Professional		$741.31	$891.25	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $10,471.29	Facility		$2,187.76	$6,918.31	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $870.96	Professional		$302.00	$467.74	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,073.80	Professional		$3,548.13	$3,548.13	$4,073.80