Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,511.89 / $6,760.83	Facility		$309.03	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $4,786.30	Professional		$263.03	$588.84	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $3,162.28	Professional		$239.88	$257.04	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,047.13 / $6,760.83	Professional		$416.87	$1,047.13	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,230.27	Facility		$457.09	$645.65	$1,230.27
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $741.31 / $5,248.07	Professional		$338.84	$741.31	$5,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $4,265.80	Facility		$263.03	$676.08	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $831.76 / $5,888.44	Professional		$380.19	$831.76	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $3,467.37	Professional		$269.15	$549.54	$3,467.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $7,079.46 / $7,079.46	Facility		$56.23	$7,079.46	$7,079.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $19,498.45	Professional		$16,982.44	$16,982.44	$19,498.45