Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,862.09 / $6,918.31	Facility		$489.78	$1,862.09	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,513.56	Professional		$426.58	$616.60	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $1,174.90	Professional		$346.74	$407.38	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,548.82	Professional		$562.34	$812.83	$1,548.82
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 $501.19 / $758.58 / $1,288.25	Professional		$501.19	$758.58	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,380.38	Professional		$954.99	$954.99	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,122.02	Facility		$457.09	$691.83	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,288.25	Professional		$891.25	$1,096.48	$1,288.25
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 $407.38 / $602.56 / $1,096.48	Professional		$407.38	$602.56	$1,096.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,897.79	Professional		$4,365.16	$4,365.16	$4,897.79