Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.62 / $2,482.34 / $8,413.00	Facility		$515.62	$2,482.34	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $512.12 / $1,023.85	Professional		$317.13	$512.12	$1,023.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.16 / $540.59 / $1,027.09	Professional		$393.16	$540.59	$1,027.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.15 / $1,627.07 / $2,761.08	Facility		$1,479.15	$1,627.07	$2,761.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.02 / $658.94 / $1,250.39	Professional		$394.02	$658.94	$1,250.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,362.98 / $2,709.73	Facility		$515.00	$1,362.98	$2,709.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $614.59 / $1,128.46	Professional		$379.80	$614.59	$1,128.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $351.19 / $553.00 / $856.77	Facility		$351.19	$553.00	$856.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $611.00 / $1,125.35	Professional		$579.00	$611.00	$1,125.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.54 / $627.41 / $1,108.90	Professional		$503.54	$627.41	$1,108.90
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.26 / $582.07 / $1,198.66	Professional		$418.26	$582.07	$1,198.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,446.56 / $2,446.56 / $26,542.00	Facility		$2,446.56	$2,446.56	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,602.00 / $3,739.28 / $4,415.63	Professional		$2,602.00	$3,739.28	$4,415.63