Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.09 / $566.09 / $1,148.88	Facility		$566.09	$566.09	$1,148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.46 / $566.09 / $566.09	Professional		$341.46	$566.09	$566.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.44 / $684.52 / $684.52	Professional		$570.44	$684.52	$684.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.88 / $1,128.21 / $1,389.42	Facility		$692.88	$1,128.21	$1,389.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.53 / $570.44 / $570.44	Professional		$433.53	$570.44	$570.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.47 / $663.31 / $663.31	Facility		$470.47	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.47 / $663.31 / $1,085.63	Professional		$470.47	$663.31	$1,085.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $566.09 / $856.52	Facility		$244.96	$566.09	$856.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $428.00 / $534.00	Professional		$428.00	$428.00	$534.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $911.30 / $1,403.30	Professional		$911.30	$911.30	$1,403.30
United Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $381.05 / $595.28	Professional		$316.20	$381.05	$595.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,752.78 / $4,817.02 / $4,817.02	Facility		$1,752.78	$4,817.02	$4,817.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,673.83 / $5,673.83 / $5,704.35	Professional		$5,673.83	$5,673.83	$5,704.35