Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.43 / $467.92 / $1,284.33	Facility		$409.43	$467.92	$1,284.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.82 / $552.41 / $845.65	Professional		$422.82	$552.41	$845.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $406.18 / $406.18 / $1,303.95	Professional		$406.18	$406.18	$1,303.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.84 / $1,316.02 / $2,038.66	Facility		$990.84	$1,316.02	$2,038.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.54 / $586.78 / $1,629.94	Professional		$358.54	$586.78	$1,629.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.36 / $990.81 / $1,535.50	Facility		$746.36	$990.81	$1,535.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.37 / $680.03 / $1,369.39	Professional		$271.37	$680.03	$1,369.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.22 / $740.21 / $977.96	Facility		$456.22	$740.21	$977.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $725.89 / $740.21 / $1,500.00	Professional		$725.89	$740.21	$1,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $617.07 / $2,497.06	Professional		$584.90	$617.07	$2,497.06
United Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $393.26 / $843.63	Professional		$324.95	$393.26	$843.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,034.16 / $6,193.76 / $6,193.76	Facility		$2,034.16	$6,193.76	$6,193.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62