Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,412.54	Facility		$416.87	$660.69	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,445.44	Professional		$354.81	$512.86	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,000.00	Professional		$338.84	$446.68	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,288.25	Professional		$537.03	$812.83	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $28,183.83	Facility		$691.83	$691.83	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,071.52	Professional		$446.68	$616.60	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $1,071.52	Facility		$416.87	$645.65	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,047.13	Professional		$524.81	$758.58	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,071.52	Professional		$398.11	$588.84	$1,071.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $14,791.08 / $14,791.08	Professional		$5,128.61	$14,791.08	$14,791.08