Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.61 / $710.61 / $1,442.15	Facility		$710.61	$710.61	$1,442.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.11 / $710.61 / $710.61	Professional		$427.11	$710.61	$710.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $859.28 / $859.28 / $859.28	Professional		$859.28	$859.28	$859.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.46 / $918.56 / $1,744.12	Facility		$765.46	$918.56	$1,744.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.21 / $716.06 / $716.06	Professional		$544.21	$716.06	$716.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.58 / $596.58 / $596.58	Facility		$590.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $472.46 / $1,107.00	Professional		$435.50	$472.46	$1,107.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $710.61 / $1,075.17	Facility		$307.50	$710.61	$1,075.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $537.00 / $670.00	Professional		$537.00	$537.00	$670.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.20 / $1,199.20 / $1,843.90	Professional		$1,199.20	$1,199.20	$1,843.90
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $629.41 / $733.98	Facility		$366.99	$629.41	$733.98
United Facility/Professional Professional Modifier Low / Median / High Price $365.95 / $476.31 / $733.98	Professional		$365.95	$476.31	$733.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,025.45 / $6,046.75 / $6,046.75	Facility		$2,025.45	$6,046.75	$6,046.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,556.50 / $6,556.50 / $7,495.13	Professional		$6,556.50	$6,556.50	$7,495.13