Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.76 / $1,121.31 / $1,121.31	Facility		$564.76	$1,121.31	$1,121.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $386.55 / $1,037.25	Professional		$309.12	$386.55	$1,037.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $538.61 / $587.94 / $686.58	Professional		$538.61	$587.94	$686.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.45 / $755.81 / $930.49	Professional		$498.45	$755.81	$930.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $441.14 / $35,600.00	Facility		$0.71	$441.14	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.07 / $552.76 / $928.13	Professional		$385.07	$552.76	$928.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.59 / $444.53 / $623.58	Facility		$363.59	$444.53	$623.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $502.00 / $938.91	Professional		$400.00	$502.00	$938.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $608.74 / $792.04	Professional		$352.38	$608.74	$792.04
United Facility/Professional Professional Modifier Low / Median / High Price $336.99 / $451.66 / $777.11	Professional		$336.99	$451.66	$777.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $714.01 / $1,864.80 / $1,864.80	Facility		$714.01	$1,864.80	$1,864.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,516.49 / $3,516.49 / $3,516.49	Professional		$3,516.49	$3,516.49	$3,516.49