Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.63 / $988.16 / $1,267.22	Facility		$776.63	$988.16	$1,267.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.32 / $996.94 / $2,153.39	Professional		$681.32	$996.94	$2,153.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $849.40 / $1,358.90 / $1,671.25	Professional		$849.40	$1,358.90	$1,671.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.88 / $1,252.42 / $1,865.86	Professional		$869.88	$1,252.42	$1,865.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.03 / $1,182.59 / $1,900.02	Professional		$750.03	$1,182.59	$1,900.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.81 / $1,005.19 / $1,842.41	Facility		$744.81	$1,005.19	$1,842.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,018.92 / $1,018.92 / $2,146.21	Professional		$1,018.92	$1,018.92	$2,146.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.00 / $1,494.00 / $2,599.50	Professional		$1,095.00	$1,494.00	$2,599.50
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 $773.22 / $1,129.70 / $2,366.29	Professional		$773.22	$1,129.70	$2,366.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,745.00 / $3,745.00	Facility		$55.00	$3,745.00	$3,745.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,544.32 / $7,247.84 / $8,904.68	Professional		$5,544.32	$7,247.84	$8,904.68