Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.20 / $2,244.40 / $2,244.40	Facility		$1,212.20	$2,244.40	$2,244.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.84 / $788.98 / $2,174.98	Professional		$621.84	$788.98	$2,174.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,076.68 / $1,076.68 / $1,493.82	Professional		$1,076.68	$1,076.68	$1,493.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.96 / $1,505.01 / $1,922.65	Professional		$1,013.96	$1,505.01	$1,922.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $883.74 / $35,600.00	Facility		$0.71	$883.74	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.47 / $1,107.71 / $1,867.21	Professional		$779.47	$1,107.71	$1,867.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.57 / $888.41 / $1,252.03	Facility		$736.57	$888.41	$1,252.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,082.00 / $1,877.40	Professional		$750.00	$1,082.00	$1,877.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.53 / $1,220.26 / $1,589.80	Professional		$706.53	$1,220.26	$1,589.80
United Facility/Professional Professional Modifier Low / Median / High Price $679.53 / $855.54 / $1,567.26	Professional		$679.53	$855.54	$1,567.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,429.79 / $3,729.84 / $3,729.84	Facility		$1,429.79	$3,729.84	$3,729.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,032.99 / $7,032.99 / $7,032.99	Professional		$7,032.99	$7,032.99	$7,032.99