Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.50 / $1,605.16 / $1,852.24	Facility		$432.50	$1,605.16	$1,852.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $450.23 / $507.29	Professional		$396.25	$450.23	$507.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $455.06 / $455.06	Professional		$455.06	$455.06	$455.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $550.00 / $1,581.85	Professional		$253.07	$550.00	$1,581.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.35 / $538.35 / $538.35	Facility		$538.35	$538.35	$538.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.47 / $648.75 / $1,834.30	Professional		$428.47	$648.75	$1,834.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.43 / $520.42 / $627.28	Facility		$409.43	$520.42	$627.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $520.42 / $664.00	Professional		$189.80	$520.42	$664.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $621.90 / $979.89 / $1,060.90	Professional		$621.90	$979.89	$1,060.90
United Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $365.17 / $664.52	Professional		$233.42	$365.17	$664.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $829.17 / $2,499.55 / $2,499.55	Facility		$829.17	$2,499.55	$2,499.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,826.03 / $4,030.95 / $4,030.95	Professional		$2,826.03	$4,030.95	$4,030.95