Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.97 / $4,874.97 / $10,034.00	Facility		$1,518.97	$4,874.97	$10,034.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $453.90 / $891.25	Professional		$345.68	$453.90	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $710.46 / $710.46 / $710.46	Professional		$710.46	$710.46	$710.46
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 $444.16 / $663.16 / $1,024.43	Professional		$444.16	$663.16	$1,024.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $3,258.29 / $6,146.74	Facility		$473.66	$3,258.29	$6,146.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.09 / $591.30 / $1,036.96	Professional		$408.09	$591.30	$1,036.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.83 / $506.03 / $765.00	Facility		$408.83	$506.03	$765.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $754.00 / $1,494.25	Professional		$525.00	$754.00	$1,494.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.83 / $629.42 / $732.62	Professional		$420.83	$629.42	$732.62
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 $341.89 / $462.83 / $1,004.97	Professional		$341.89	$462.83	$1,004.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,351.94 / $17,986.75 / $26,542.00	Facility		$2,351.94	$17,986.75	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,629.78 / $7,231.97 / $7,231.97	Professional		$3,629.78	$7,231.97	$7,231.97