Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.07 / $1,615.00 / $10,561.00	Facility		$752.07	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.39 / $792.85 / $1,624.47	Professional		$666.39	$792.85	$1,624.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $807.24 / $1,315.60 / $1,315.60	Professional		$807.24	$1,315.60	$1,315.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,736.14 / $5,736.14 / $8,196.23	Facility		$5,736.14	$5,736.14	$8,196.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.93 / $1,366.34 / $2,067.06	Professional		$917.93	$1,366.34	$2,067.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.63 / $1,113.84 / $1,922.44	Professional		$851.63	$1,113.84	$1,922.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $752.07 / $1,070.21 / $1,619.89	Facility		$752.07	$1,070.21	$1,619.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $957.00 / $1,002.00	Professional		$716.00	$957.00	$1,002.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,017.90 / $2,048.80	Professional		$3.00	$1,017.90	$2,048.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,306.00 / $12,081.00 / $18,765.00	Facility		$3,306.00	$12,081.00	$18,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.95 / $958.39 / $2,076.67	Professional		$645.95	$958.39	$2,076.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $19,913.50 / $26,542.00	Facility		$2,897.76	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,617.84 / $5,617.84 / $6,654.15	Professional		$5,617.84	$5,617.84	$6,654.15