Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.17 / $433.17 / $1,024.69	Facility		$433.17	$433.17	$1,024.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $433.17 / $514.22	Professional		$398.13	$433.17	$514.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $455.97 / $455.97	Professional		$455.97	$455.97	$455.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $715.87 / $1,750.11	Professional		$455.97	$715.87	$1,750.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.92 / $524.92 / $524.92	Facility		$524.92	$524.92	$524.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.13 / $614.90 / $1,838.20	Professional		$404.13	$614.90	$1,838.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $410.07 / $492.00 / $624.04	Facility		$410.07	$492.00	$624.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $492.00 / $648.00	Professional		$189.80	$492.00	$648.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.79 / $881.04 / $953.76	Professional		$646.79	$881.04	$953.76
United Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $396.71 / $779.71	Professional		$273.58	$396.71	$779.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $862.34 / $2,438.65 / $2,438.65	Facility		$862.34	$2,438.65	$2,438.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,830.35 / $3,933.45 / $3,933.45	Professional		$2,830.35	$3,933.45	$3,933.45