Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.69 / $513.69 / $1,042.51	Facility		$513.69	$513.69	$1,042.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $513.69 / $513.69	Professional		$299.01	$513.69	$513.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $517.64 / $621.16 / $621.16	Professional		$517.64	$621.16	$621.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.75 / $1,023.77 / $1,260.80	Facility		$628.75	$1,023.77	$1,260.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $517.64 / $517.64	Professional		$393.40	$517.64	$517.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $692.25	Professional		$277.86	$380.63	$692.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $513.69 / $777.21	Facility		$192.28	$513.69	$777.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $386.00 / $485.00	Professional		$386.00	$386.00	$485.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $712.40 / $712.40 / $1,101.50	Professional		$712.40	$712.40	$1,101.50
United Facility/Professional Professional Modifier Low / Median / High Price $264.52 / $345.77 / $486.15	Professional		$264.52	$345.77	$486.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,239.38 / $3,781.14 / $3,781.14	Facility		$1,239.38	$3,781.14	$3,781.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,766.49 / $4,766.49 / $4,766.49	Professional		$4,766.49	$4,766.49	$4,766.49