Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $2,290.87	Facility		$575.44	$1,995.26	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $776.25	Professional		$512.86	$575.44	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,023.29	Professional		$575.44	$575.44	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $2,089.30	Professional		$616.60	$741.31	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $2,511.89	Professional		$446.68	$831.76	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $1,047.13	Facility		$524.81	$616.60	$1,047.13
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 $1,071.52 / $1,202.26 / $1,412.54	Professional		$1,071.52	$1,202.26	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $831.76	Professional		$323.59	$489.78	$831.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $5,128.61	Professional		$3,801.89	$5,128.61	$5,128.61