Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.56 / $946.56 / $1,632.84	Facility		$946.56	$946.56	$1,632.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.22 / $946.56 / $946.56	Professional		$470.22	$946.56	$946.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $972.90 / $972.90 / $972.90	Professional		$972.90	$972.90	$972.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $1,040.02 / $1,974.76	Facility		$866.68	$1,040.02	$1,974.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.68 / $810.75 / $864.80	Professional		$729.68	$810.75	$864.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $860.28	Facility		$731.38	$731.38	$860.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $731.38 / $1,246.50	Professional		$533.91	$731.38	$1,246.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $946.56 / $1,230.53	Facility		$309.33	$946.56	$1,230.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.39 / $758.39 / $758.39	Professional		$758.39	$758.39	$758.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.30 / $1,259.30 / $1,936.20	Professional		$1,259.30	$1,259.30	$1,936.20
United Facility/Professional Professional Modifier Low / Median / High Price $396.59 / $534.49 / $781.98	Professional		$396.59	$534.49	$781.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,689.06 / $5,006.71 / $5,006.71	Facility		$1,689.06	$5,006.71	$5,006.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,412.81 / $5,412.81 / $7,870.50	Professional		$5,412.81	$5,412.81	$7,870.50