Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.78 / $712.78 / $1,446.58	Facility		$712.78	$712.78	$1,446.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.41 / $712.78 / $712.78	Professional		$428.41	$712.78	$712.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $861.89 / $861.89 / $861.89	Professional		$861.89	$861.89	$861.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.82 / $921.39 / $1,749.44	Facility		$767.82	$921.39	$1,749.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.72 / $718.24 / $718.25	Professional		$666.72	$718.24	$718.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.39 / $694.09 / $694.09	Facility		$592.39	$694.09	$694.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $1,363.50	Professional		$506.69	$694.09	$1,363.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.44 / $712.78 / $1,078.46	Facility		$308.44	$712.78	$1,078.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $538.00 / $538.00 / $672.00	Professional		$538.00	$538.00	$672.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.20 / $1,149.20 / $1,767.00	Professional		$1,149.20	$1,149.20	$1,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.07 / $477.77 / $796.28	Professional		$367.07	$477.77	$796.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,975.75 / $5,149.18 / $5,149.18	Facility		$1,975.75	$5,149.18	$5,149.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,358.86 / $6,358.86 / $7,182.45	Professional		$6,358.86	$6,358.86	$7,182.45