Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.62 / $659.84 / $7,968.00	Facility		$260.62	$659.84	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.62 / $398.71 / $668.29	Professional		$260.62	$398.71	$668.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.64 / $352.64 / $352.64	Professional		$352.64	$352.64	$352.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.83 / $1,704.83 / $1,729.70	Facility		$1,704.83	$1,704.83	$1,729.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $556.79 / $1,021.63	Professional		$263.64	$556.79	$1,021.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $473.29 / $881.15	Professional		$320.02	$473.29	$881.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.44 / $478.45 / $790.00	Facility		$268.44	$478.45	$790.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $528.00 / $606.00	Professional		$487.34	$528.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $536.20 / $1,143.30	Professional		$3.00	$536.20	$1,143.30
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 $349.40 / $506.30 / $1,087.49	Professional		$349.40	$506.30	$1,087.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,247.08 / $1,380.59 / $26,542.00	Facility		$1,247.08	$1,380.59	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,986.96 / $2,943.76 / $3,398.33	Professional		$1,986.96	$2,943.76	$3,398.33