Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.88 / $707.34 / $1,141.68	Facility		$423.88	$707.34	$1,141.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $545.60 / $1,218.00	Professional		$344.83	$545.60	$1,218.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.77 / $742.80 / $913.17	Professional		$565.77	$742.80	$913.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $701.76 / $1,042.33	Professional		$494.00	$701.76	$1,042.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.61 / $666.70 / $1,053.00	Professional		$427.61	$666.70	$1,053.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.88 / $568.05 / $1,004.25	Facility		$423.88	$568.05	$1,004.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $568.05 / $568.05 / $1,207.98	Professional		$568.05	$568.05	$1,207.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $834.00 / $1,095.00 / $1,423.00	Professional		$834.00	$1,095.00	$1,423.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.61 / $601.45 / $1,453.72	Professional		$429.61	$601.45	$1,453.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,042.22 / $2,042.22	Facility		$55.00	$2,042.22	$2,042.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,024.08 / $3,964.16 / $4,858.35	Professional		$3,024.08	$3,964.16	$4,858.35