Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,041.74 / $5,370.32	Facility		$562.34	$2,041.74	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,348.96	Professional		$562.34	$776.25	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,548.82	Facility		$776.25	$1,148.15	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $912.01	Professional		$426.58	$831.76	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $1,148.15	Facility		$741.31	$776.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,071.52	Professional		$776.25	$776.25	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $1,288.25	Facility		$363.08	$776.25	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,047.13 / $1,174.90	Professional		$0.60	$1,047.13	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,318.26	Facility		$741.31	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $870.96	Professional		$741.31	$831.76	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30