Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $11,481.54	Facility		$1,659.59	$5,248.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $3,715.35	Professional		$1,230.27	$1,479.11	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,715.35	Professional		$1,513.56	$2,089.30	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,548.13	Professional		$1,412.54	$1,995.26	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,235.94	Professional		$2,454.71	$2,454.71	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,019.95	Facility		$1,380.38	$1,862.09	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,311.31	Professional		$1,819.70	$2,398.83	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,951.21	Professional		$1,174.90	$1,621.81	$2,951.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $12,589.25 / $12,589.25	Facility		$56.23	$12,589.25	$12,589.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $12,022.64 / $12,022.64	Professional		$11,748.98	$12,022.64	$12,022.64