Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.51 / $4,288.28 / $6,483.88	Facility		$477.51	$4,288.28	$6,483.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $471.79 / $844.85	Professional		$316.24	$471.79	$844.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.69 / $298.69 / $298.69	Professional		$298.69	$298.69	$298.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.98 / $689.97 / $1,293.78	Professional		$420.98	$689.97	$1,293.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.23 / $621.55 / $1,090.35	Professional		$404.23	$621.55	$1,090.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $339.42 / $573.01 / $843.05	Facility		$339.42	$573.01	$843.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $76.70 / $85.00 / $128.94	Facility	AS	$76.70	$85.00	$128.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $637.00 / $637.00	Professional		$606.00	$637.00	$637.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $616.90 / $1,444.20	Professional		$3.00	$616.90	$1,444.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.35 / $599.95 / $1,205.18	Professional		$428.35	$599.95	$1,205.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,704.44 / $1,704.44	Facility		$55.00	$1,704.44	$1,704.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $88.06 / $170.44 / $170.44	Facility	AS	$88.06	$170.44	$170.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,483.44 / $2,831.10 / $3,934.28	Professional		$2,483.44	$2,831.10	$3,934.28