Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $1,615.00 / $10,561.00	Facility		$607.01	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.41 / $626.03 / $1,311.14	Professional		$570.41	$626.03	$1,311.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,025.86 / $1,025.86 / $1,025.86	Professional		$1,025.86	$1,025.86	$1,025.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.10 / $2,192.40 / $3,720.44	Facility		$1,993.10	$2,192.40	$3,720.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.82 / $983.67 / $1,528.04	Professional		$663.82	$983.67	$1,528.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,958.30 / $3,266.42	Facility		$515.00	$1,958.30	$3,266.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.04 / $877.15 / $1,564.87	Professional		$610.04	$877.15	$1,564.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $741.03 / $1,098.00	Facility		$607.01	$741.03	$1,098.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $754.00 / $1,494.25	Professional		$716.00	$754.00	$1,494.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $737.00 / $927.92 / $1,098.09	Professional		$737.00	$927.92	$1,098.09
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 $510.79 / $707.65 / $1,466.32	Professional		$510.79	$707.65	$1,466.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,474.48 / $9,558.29 / $26,542.00	Facility		$3,474.48	$9,558.29	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,178.08 / $5,178.08 / $5,359.95	Professional		$5,178.08	$5,178.08	$5,359.95