Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.33 / $1,095.60 / $4,842.06	Facility		$355.33	$1,095.60	$4,842.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $511.08 / $921.47	Professional		$335.37	$511.08	$921.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.71 / $162.71 / $325.41	Professional		$162.71	$162.71	$325.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.02 / $708.44 / $1,239.61	Professional		$464.02	$708.44	$1,239.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.53 / $615.79 / $1,129.50	Professional		$421.53	$615.79	$1,129.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $361.48 / $613.23 / $915.30	Facility		$361.48	$613.23	$915.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.23 / $661.00 / $749.00	Professional		$613.23	$661.00	$749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $689.60 / $1,413.70	Professional		$3.00	$689.60	$1,413.70
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 $439.64 / $610.75 / $1,399.94	Professional		$439.64	$610.75	$1,399.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,695.36 / $1,867.08 / $26,542.00	Facility		$1,695.36	$1,867.08	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,702.08 / $3,802.00 / $4,385.10	Professional		$2,702.08	$3,802.00	$4,385.10