Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $7,585.78	Facility		$891.25	$2,041.74	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,071.52	Professional		$812.83	$891.25	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $3,467.37	Professional		$851.14	$1,023.29	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $3,467.37	Professional		$741.31	$1,318.26	$3,467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,584.89	Facility		$831.76	$977.24	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,238.72	Professional		$1,698.24	$1,905.46	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,128.31 / $8,128.31	Professional		$5,754.40	$8,128.31	$8,128.31