Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.79 / $546.79 / $943.25	Facility		$546.79	$546.79	$943.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $546.79 / $546.79	Professional		$286.14	$546.79	$546.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $515.17 / $562.01 / $562.01	Professional		$515.17	$562.01	$562.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.64 / $600.77 / $1,140.77	Facility		$500.64	$600.77	$1,140.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.75 / $468.34 / $468.35	Professional		$434.75	$468.34	$468.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.27 / $523.66 / $523.66	Facility		$386.27	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $382.28 / $865.88	Professional		$309.02	$382.28	$865.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $546.79 / $710.84	Facility		$201.12	$546.79	$710.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $439.00	Professional		$351.00	$351.00	$439.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $999.10 / $999.10 / $1,536.20	Professional		$999.10	$999.10	$1,536.20
United Facility/Professional Professional Modifier Low / Median / High Price $239.35 / $311.54 / $476.73	Professional		$239.35	$311.54	$476.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,248.92 / $3,954.90 / $3,954.90	Facility		$1,248.92	$3,954.90	$3,954.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,022.60 / $4,022.60 / $6,244.58	Professional		$4,022.60	$4,022.60	$6,244.58