Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $1,829.69 / $12,523.00	Facility		$628.37	$1,829.69	$12,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.60 / $628.37 / $1,720.04	Professional		$580.60	$628.37	$1,720.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $790.32 / $1,076.15	Professional		$482.82	$790.32	$1,076.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.65 / $1,317.67 / $1,691.17	Professional		$965.65	$1,317.67	$1,691.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.90 / $730.90 / $730.90	Facility		$730.90	$730.90	$730.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.84 / $1,050.22 / $1,737.96	Professional		$651.84	$1,050.22	$1,737.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $1,055.35 / $1,565.64	Facility		$628.37	$1,055.35	$1,565.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $794.00 / $965.37	Professional		$794.00	$794.00	$965.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $844.94 / $952.33 / $1,207.30	Professional		$844.94	$952.33	$1,207.30
United Facility/Professional Professional Modifier Low / Median / High Price $621.66 / $840.59 / $1,734.33	Professional		$621.66	$840.59	$1,734.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,757.28 / $4,757.28 / $5,947.12	Facility		$4,757.28	$4,757.28	$5,947.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,335.43 / $5,335.43 / $12,463.23	Professional		$5,335.43	$5,335.43	$12,463.23