Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.90 / $3,211.34 / $3,467.29	Facility		$835.90	$3,211.34	$3,467.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $872.49 / $1,192.01	Professional		$776.00	$872.49	$1,192.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.17 / $812.17 / $812.17	Professional		$812.17	$812.17	$812.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.17 / $1,299.47 / $3,365.60	Professional		$812.17	$1,299.47	$3,365.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.05 / $995.05 / $995.05	Facility		$995.05	$995.05	$995.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.26 / $1,181.15 / $3,276.00	Professional		$786.26	$1,181.15	$3,276.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $788.35 / $949.54 / $1,182.90	Facility		$788.35	$949.54	$1,182.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $949.54 / $1,229.00	Professional		$364.16	$949.54	$1,229.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.32 / $2,660.83 / $2,880.62	Professional		$1,396.32	$2,660.83	$2,880.62
United Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $637.28 / $1,325.63	Professional		$402.93	$637.28	$1,325.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,658.34 / $4,622.51 / $4,622.51	Facility		$1,658.34	$4,622.51	$4,622.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,462.08 / $7,456.58 / $7,456.58	Professional		$5,462.08	$7,456.58	$7,456.58