Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $8,317.64	Facility		$407.38	$1,000.00	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $812.83	Professional		$257.04	$407.38	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $812.83	Professional		$257.04	$363.08	$812.83
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 $338.84 / $489.78 / $1,071.52	Professional		$338.84	$489.78	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $870.96	Professional		$316.23	$467.74	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $977.24	Professional		$575.44	$575.44	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $724.44	Facility		$281.84	$436.52	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $933.25	Professional		$630.96	$776.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $10,471.29	Facility		$1,659.59	$6,918.31	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $741.31	Professional		$251.19	$398.11	$741.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $45,708.82	Facility		$4,786.30	$4,786.30	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,548.13	Professional		$3,019.95	$3,019.95	$3,548.13