Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.90 / $1,245.00 / $5,449.00	Facility		$236.90	$1,245.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.90 / $1,166.25 / $1,899.21	Professional		$236.90	$1,166.25	$1,899.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.86 / $333.86 / $333.86	Professional		$333.86	$333.86	$333.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.07 / $1,628.70 / $3,633.41	Professional		$395.07	$1,628.70	$3,633.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $1,099.21 / $3,169.84	Professional		$311.14	$1,099.21	$3,169.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $253.64 / $1,391.55 / $3,265.90	Facility		$253.64	$1,391.55	$3,265.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,981.94 / $1,981.94 / $1,981.94	Professional		$1,981.94	$1,981.94	$1,981.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $1,523.06 / $1,947.11	Professional		$334.41	$1,523.06	$1,947.11
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.30 / $2,087.67 / $3,432.95	Professional		$1,318.30	$2,087.67	$3,432.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,101.16 / $2,101.16	Facility		$55.00	$2,101.16	$2,101.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,266.53 / $9,842.37 / $11,157.78	Professional		$4,266.53	$9,842.37	$11,157.78