Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.48 / $2,015.69 / $2,158.80	Facility		$580.48	$2,015.69	$2,158.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.69 / $580.37 / $656.81	Professional		$527.69	$580.37	$656.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,012.78 / $1,012.78 / $1,012.78	Professional		$1,012.78	$1,012.78	$1,012.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.54 / $969.55 / $2,103.50	Professional		$617.54	$969.55	$2,103.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $691.58 / $691.58	Facility		$691.58	$691.58	$691.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $814.78 / $2,489.50	Professional		$558.71	$814.78	$2,489.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.73 / $659.23 / $818.21	Facility		$529.73	$659.23	$818.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $659.23 / $854.00	Professional		$364.16	$659.23	$854.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.30 / $1,068.25 / $1,156.33	Professional		$777.30	$1,068.25	$1,156.33
United Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $489.41 / $906.17	Professional		$318.75	$489.41	$906.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,036.46 / $3,212.90 / $3,212.90	Facility		$1,036.46	$3,212.90	$3,212.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,792.87 / $5,181.83 / $5,181.83	Professional		$3,792.87	$5,181.83	$5,181.83