Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.94 / $2,483.53 / $7,278.00	Facility		$444.94	$2,483.53	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $451.50 / $813.66	Professional		$309.93	$451.50	$813.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $698.95 / $698.95 / $698.95	Professional		$698.95	$698.95	$698.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.68 / $397.68 / $403.48	Facility		$397.68	$397.68	$403.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.47 / $655.26 / $1,121.97	Professional		$414.47	$655.26	$1,121.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.75 / $490.75 / $606.10	Facility		$490.75	$490.75	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.29 / $565.71 / $1,021.04	Professional		$389.29	$565.71	$1,021.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $557.22 / $922.00	Facility		$329.07	$557.22	$922.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $560.74 / $601.00 / $614.00	Professional		$560.74	$601.00	$614.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $627.90 / $1,280.00	Professional		$3.00	$627.90	$1,280.00
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 $402.10 / $558.21 / $1,280.14	Professional		$402.10	$558.21	$1,280.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,728.29 / $1,728.29	Facility		$55.00	$1,728.29	$1,728.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,494.56 / $3,463.20 / $3,985.28	Professional		$2,494.56	$3,463.20	$3,985.28