Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $4,086.00 / $5,449.00	Facility		$253.22	$4,086.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $263.45 / $1,069.11	Professional		$98.13	$263.45	$1,069.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $1,323.65 / $1,323.65	Professional		$89.35	$1,323.65	$1,323.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.30 / $748.32 / $1,269.88	Facility		$680.30	$748.32	$1,269.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $888.64 / $1,480.78	Professional		$148.75	$888.64	$1,480.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $650.35 / $1,226.89	Facility		$323.44	$650.35	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $467.73 / $1,500.78	Professional		$127.79	$467.73	$1,500.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $679.08 / $882.80	Facility		$98.13	$679.08	$882.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $657.00 / $1,571.39	Professional		$400.00	$657.00	$1,571.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $690.90 / $1,566.75	Professional		$117.49	$690.90	$1,566.75
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.05 / $719.94 / $1,478.33	Professional		$527.05	$719.94	$1,478.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,071.64 / $1,071.64	Facility		$55.00	$1,071.64	$1,071.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,391.17 / $4,599.43 / $5,427.38	Professional		$2,391.17	$4,599.43	$5,427.38