Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.36 / $608.03 / $1,020.23	Facility		$315.36	$608.03	$1,020.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.37 / $719.37 / $790.27	Professional		$719.37	$719.37	$790.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $533.54 / $598.50	Professional		$533.54	$533.54	$598.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $885.45 / $885.45 / $885.45	Facility		$885.45	$885.45	$885.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,702.87 / $3,702.87 / $3,702.87	Professional		$3,702.87	$3,702.87	$3,702.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.25 / $719.37 / $1,076.16	Facility		$522.25	$719.37	$1,076.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $883.24	Professional		$883.24	$883.24	$883.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.18 / $1,137.52 / $1,351.99	Professional		$1,090.18	$1,137.52	$1,351.99
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,148.21	Professional		$883.24	$883.24	$1,148.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,526.17 / $1,526.17 / $4,357.03	Facility		$1,526.17	$1,526.17	$4,357.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,860.70 / $6,718.20 / $6,718.20	Professional		$4,860.70	$6,718.20	$6,718.20