Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,659.59 / $9,549.93	Facility		$457.09	$1,659.59	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $977.24	Professional		$302.00	$467.74	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $407.38 / $954.99	Professional		$141.25	$407.38	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,202.26	Professional		$398.11	$562.34	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,000.00	Professional		$371.54	$549.54	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,122.02	Professional		$645.65	$645.65	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $831.76	Facility		$338.84	$512.86	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,047.13	Professional		$724.44	$891.25	$1,047.13
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 $295.12 / $457.09 / $851.14	Professional		$295.12	$457.09	$851.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $33,884.42	Facility		$8,912.51	$8,912.51	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,981.07	Professional		$3,467.37	$3,467.37	$3,981.07