Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,786.30 / $8,709.64	Facility		$389.05	$4,786.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,000.00	Professional		$257.04	$371.54	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $251.19	Professional		$223.87	$239.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $660.69	Professional		$302.00	$407.38	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,818.38 / $4,897.79	Facility		$457.09	$2,818.38	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $645.65	Professional		$275.42	$389.05	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $524.81	Facility		$251.19	$338.84	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $691.83	Professional		$316.23	$501.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,466.84 / $9,549.93	Facility		$912.01	$4,466.84	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $512.86	Professional		$218.78	$288.40	$512.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $33,884.42	Facility		$16,595.87	$16,595.87	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,290.87	Professional		$1,995.26	$1,995.26	$2,290.87