Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.23 / $1,778.59 / $12,615.00	Facility		$1,023.23	$1,778.59	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.23 / $1,085.43 / $2,057.52	Professional		$1,023.23	$1,085.43	$2,057.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,737.07 / $1,737.07 / $1,737.07	Professional		$1,737.07	$1,737.07	$1,737.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.72 / $2,014.10 / $2,738.55	Professional		$1,169.72	$2,014.10	$2,738.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.91 / $1,514.85 / $2,744.98	Professional		$1,114.91	$1,514.85	$2,744.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.23 / $1,325.74 / $2,312.50	Facility		$1,023.23	$1,325.74	$2,312.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,325.74 / $1,421.00 / $1,421.00	Professional		$1,325.74	$1,421.00	$1,421.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,359.30 / $3,036.00	Professional		$7.00	$1,359.30	$3,036.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.73 / $1,400.36 / $2,810.28	Professional		$912.73	$1,400.36	$2,810.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,518.56 / $9,518.56	Facility		$55.00	$9,518.56	$9,518.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,228.59 / $10,228.59 / $10,228.59	Professional		$10,228.59	$10,228.59	$10,228.59