Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.78 / $734.78 / $1,267.53	Facility		$734.78	$734.78	$1,267.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $734.78 / $734.78	Professional		$363.48	$734.78	$734.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $750.73 / $750.73 / $755.23	Professional		$750.73	$750.73	$755.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.45 / $1,244.75 / $1,532.94	Facility		$764.45	$1,244.75	$1,532.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.31 / $629.36 / $629.36	Professional		$478.31	$629.36	$629.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.07 / $524.34 / $524.34	Facility		$519.07	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $1,074.38	Professional		$382.77	$524.34	$1,074.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $734.78 / $955.21	Facility		$270.27	$734.78	$955.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $472.00 / $570.55	Professional		$472.00	$472.00	$570.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.60 / $1,342.60 / $2,064.30	Professional		$1,342.60	$1,342.60	$2,064.30
United Facility/Professional Professional Modifier Low / Median / High Price $319.48 / $418.64 / $656.77	Professional		$319.48	$418.64	$656.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,678.28 / $5,314.54 / $5,314.54	Facility		$1,678.28	$5,314.54	$5,314.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,538.31 / $5,538.31 / $8,391.37	Professional		$5,538.31	$5,538.31	$8,391.37