Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.37 / $4,475.67 / $8,222.89	Facility		$762.37	$4,475.67	$8,222.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $612.08 / $1,357.79	Professional		$190.62	$612.08	$1,357.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.38 / $522.75 / $1,060.52	Professional		$310.38	$522.75	$1,060.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,403.26 / $4,403.26 / $4,467.51	Facility		$4,403.26	$4,403.26	$4,467.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.64 / $1,033.36 / $1,749.93	Professional		$674.64	$1,033.36	$1,749.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.00 / $893.80 / $1,545.18	Professional		$664.00	$893.80	$1,545.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $891.17 / $1,369.89	Facility		$580.46	$891.17	$1,369.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.08 / $204.40 / $307.19	Facility	80	$153.08	$204.40	$307.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.16 / $143.08 / $215.01	Facility	AS	$107.16	$143.08	$215.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $771.00 / $772.00	Professional		$579.00	$771.00	$772.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $11,330.16 / $11,330.16 / $11,330.16	Facility		$11,330.16	$11,330.16	$11,330.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $784.80 / $860.76 / $990.47	Professional		$784.80	$860.76	$990.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $731.61 / $1,522.46	Professional		$542.16	$731.61	$1,522.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,346.32 / $8,957.00 / $26,542.00	Facility		$3,346.32	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $136.09 / $510.42 / $849.00	Facility	AS	$136.09	$510.42	$849.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,528.97 / $4,528.97 / $5,128.50	Professional		$4,528.97	$4,528.97	$5,128.50