Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,495.41 / $11,481.54	Facility		$954.99	$5,495.41	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $2,511.89	Professional		$549.54	$1,000.00	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $2,041.74	Professional		$512.86	$1,000.00	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,019.95	Facility		$2,089.30	$2,089.30	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,187.76	Professional		$758.58	$1,071.52	$2,187.76
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 $691.83 / $1,047.13 / $2,041.74	Professional		$691.83	$1,047.13	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,454.71	Professional		$1,230.27	$1,230.27	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,621.81	Facility		$630.96	$1,000.00	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $1,995.26	Professional		$954.99	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,232.93 / $14,454.40	Facility		$3,311.31	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,621.81	Professional		$549.54	$870.96	$1,621.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $56,234.13 / $56,234.13	Facility		$45,708.82	$56,234.13	$56,234.13
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	AS	$5,623.41	$5,623.41	$5,623.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $8,511.38	Professional		$7,244.36	$7,244.36	$8,511.38