Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.00 / $3,630.38 / $6,020.68	Facility		$901.00	$3,630.38	$6,020.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.23 / $971.18 / $1,790.92	Professional		$196.23	$971.18	$1,790.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.95 / $411.95 / $766.76	Professional		$411.95	$411.95	$766.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.10 / $1,657.62 / $3,886.20	Professional		$302.10	$1,657.62	$3,886.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.95 / $1,960.83 / $3,266.42	Facility		$338.95	$1,960.83	$3,266.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.07 / $1,135.64 / $2,857.31	Professional		$281.07	$1,135.64	$2,857.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $1,058.89 / $2,040.79	Facility		$196.23	$1,058.89	$2,040.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,210.00 / $1,711.00 / $3,000.45	Professional		$1,210.00	$1,711.00	$3,000.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $544.10 / $3,076.00	Professional		$455.00	$544.10	$3,076.00
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,557.00 / $11,999.00	Facility		$902.00	$1,557.00	$11,999.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.41 / $1,813.68 / $3,012.81	Professional		$1,152.41	$1,813.68	$3,012.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,726.99 / $1,726.99	Facility		$55.00	$1,726.99	$1,726.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,554.17 / $7,687.97 / $7,932.23	Professional		$4,554.17	$7,687.97	$7,932.23