Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.66 / $6,794.40 / $12,049.59	Facility		$693.66	$6,794.40	$12,049.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.19 / $1,392.55 / $9,558.96	Professional		$463.19	$1,392.55	$9,558.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $493.63 / $5,319.22 / $5,319.22	Professional		$493.63	$5,319.22	$5,319.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.30 / $5,867.05 / $17,542.99	Professional		$650.30	$5,867.05	$17,542.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.84 / $1,628.09 / $13,765.45	Professional		$599.84	$1,628.09	$13,765.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $463.19 / $5,752.46 / $9,675.62	Facility		$463.19	$5,752.46	$9,675.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,876.00 / $8,802.00 / $9,675.62	Professional		$6,876.00	$8,802.00	$9,675.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,247.10	Professional		$5.00	$5.00	$7,247.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $14,893.00 / $22,265.00	Facility		$4,015.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,777.55 / $8,780.74 / $15,144.11	Professional		$5,777.55	$8,780.74	$15,144.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,968.92 / $8,968.92	Facility		$55.00	$8,968.92	$8,968.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $20,132.93 / $20,132.93 / $52,335.24	Professional		$20,132.93	$20,132.93	$52,335.24