Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.64 / $700.64 / $1,421.95	Facility		$700.64	$700.64	$1,421.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $700.64 / $700.64	Professional		$454.20	$700.64	$700.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $706.01 / $847.22 / $847.22	Professional		$706.01	$847.22	$847.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.74 / $905.69 / $1,719.66	Facility		$754.74	$905.69	$1,719.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.57 / $706.01 / $706.01	Professional		$536.57	$706.01	$706.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.30 / $583.49 / $583.49	Facility		$582.30	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $1,082.63	Professional		$425.95	$583.49	$1,082.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.75 / $700.64 / $1,115.27	Facility		$300.75	$700.64	$1,115.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $529.00 / $529.00 / $661.00	Professional		$529.00	$529.00	$661.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.30 / $1,272.30 / $1,956.30	Professional		$1,272.30	$1,272.30	$1,956.30
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $471.63 / $736.77	Professional		$388.22	$471.63	$736.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,826.53 / $4,826.53	Facility		$1,768.00	$4,826.53	$4,826.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,163.10 / $6,163.10 / $7,952.10	Professional		$6,163.10	$6,163.10	$7,952.10