Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.33 / $719.33 / $1,713.95	Facility		$719.33	$719.33	$1,713.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $993.54 / $993.54	Professional		$448.15	$993.54	$993.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,021.19 / $1,021.19 / $1,021.19	Professional		$1,021.19	$1,021.19	$1,021.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.66 / $1,683.08 / $2,072.76	Facility		$1,033.66	$1,683.08	$2,072.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.89 / $850.99 / $907.72	Professional		$765.89	$850.99	$907.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $701.88	Facility		$632.51	$632.51	$701.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $1,170.00	Professional		$461.73	$632.51	$1,170.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $993.54 / $1,291.59	Facility		$296.57	$993.54	$1,291.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $638.00 / $797.00	Professional		$638.00	$638.00	$797.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.00 / $1,446.67 / $1,941.75	Professional		$1,169.00	$1,446.67	$1,941.75
United Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $538.66 / $799.26	Professional		$382.83	$538.66	$799.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,772.90 / $4,802.66 / $4,802.66	Facility		$1,772.90	$4,802.66	$4,802.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,555.28 / $5,555.28 / $8,680.12	Professional		$5,555.28	$5,555.28	$8,680.12