Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,606.93 / $11,481.54	Facility		$1,737.80	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $4,365.16	Professional		$1,584.89	$1,819.70	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $4,570.88	Professional		$1,258.93	$2,398.83	$4,570.88
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 $1,288.25 / $2,089.30 / $3,801.89	Professional		$1,288.25	$2,089.30	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,073.80	Professional		$1,905.46	$1,905.46	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,090.30	Facility		$1,479.11	$1,949.84	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,801.89	Professional		$2,344.23	$3,019.95	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $15,135.61 / $22,908.68	Facility		$5,370.32	$15,135.61	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,715.35	Professional		$1,202.26	$1,737.80	$3,715.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $10,964.78 / $10,964.78	Facility		$56.23	$10,964.78	$10,964.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $15,135.61	Professional		$12,589.25	$12,589.25	$15,135.61