Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.29 / $3,800.93 / $6,050.42	Facility		$279.29	$3,800.93	$6,050.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $453.18 / $947.15	Professional		$167.87	$453.18	$947.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $295.80 / $470.11	Professional		$182.94	$295.80	$470.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.60 / $1,442.76 / $2,448.32	Facility		$1,311.60	$1,442.76	$2,448.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $533.79 / $1,343.48	Professional		$219.74	$533.79	$1,343.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $1,362.98 / $2,709.73	Facility		$323.44	$1,362.98	$2,709.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.36 / $508.89 / $1,143.33	Professional		$205.36	$508.89	$1,143.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $501.92 / $824.92	Facility		$175.95	$501.92	$824.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $412.00 / $872.15	Professional		$378.00	$412.00	$872.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.05 / $394.60 / $1,195.59	Professional		$267.05	$394.60	$1,195.59
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 $440.34 / $590.46 / $1,409.01	Professional		$440.34	$590.46	$1,409.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,258.44 / $1,258.44 / $12,000.00	Facility		$1,258.44	$1,258.44	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,080.06 / $3,961.52 / $4,669.43	Professional		$2,080.06	$3,961.52	$4,669.43