Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.21 / $635.21 / $1,289.13	Facility		$635.21	$635.21	$1,289.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $635.21 / $635.21	Professional		$376.57	$635.21	$635.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $640.08 / $768.10 / $768.10	Professional		$640.08	$768.10	$768.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.24 / $821.09 / $1,559.05	Facility		$684.24	$821.09	$1,559.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.16 / $640.08 / $704.09	Professional		$594.16	$640.08	$704.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $501.15	Facility		$501.15	$501.15	$501.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $501.15 / $1,099.88	Professional		$365.84	$501.15	$1,099.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $635.21 / $961.08	Facility		$258.31	$635.21	$961.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $477.00 / $598.75	Professional		$477.00	$477.00	$598.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $962.40 / $962.40 / $1,479.80	Professional		$962.40	$962.40	$1,479.80
United Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $425.77 / $667.96	Professional		$333.44	$425.77	$667.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,594.05 / $4,467.28 / $4,467.28	Facility		$1,594.05	$4,467.28	$4,467.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $6,015.15	Professional		$4,528.81	$4,528.81	$6,015.15