Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.73 / $6,088.29 / $11,079.72	Facility		$1,222.73	$6,088.29	$11,079.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,166.03 / $3,270.18	Professional		$931.51	$1,166.03	$3,270.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $1,506.47 / $1,841.31	Professional		$240.96	$1,506.47	$1,841.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,684.54 / $3,684.54 / $5,264.75	Facility		$3,684.54	$3,684.54	$5,264.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,257.21 / $1,888.13 / $2,992.07	Professional		$1,257.21	$1,888.13	$2,992.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $18,362.00	Facility		$852.10	$852.10	$18,362.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.07 / $1,534.42 / $2,656.70	Professional		$1,112.07	$1,534.42	$2,656.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,045.65 / $1,488.43 / $2,079.69	Facility		$1,045.65	$1,488.43	$2,079.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $266.35 / $354.40 / $493.55	Facility	80	$266.35	$354.40	$493.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.45 / $248.08 / $330.84	Facility	AS	$186.45	$248.08	$330.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,317.00 / $1,377.00	Professional		$815.00	$1,317.00	$1,377.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14,204.08 / $14,204.08 / $14,204.08	Facility		$14,204.08	$14,204.08	$14,204.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.58 / $1,535.09 / $1,771.76	Professional		$1,386.58	$1,535.09	$1,771.76
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 $925.89 / $1,328.47 / $2,785.28	Professional		$925.89	$1,328.47	$2,785.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,986.80 / $19,913.50 / $26,542.00	Facility		$5,986.80	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $242.33 / $1,134.79 / $1,887.52	Facility	AS	$242.33	$1,134.79	$1,887.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,718.96 / $7,718.96 / $9,162.98	Professional		$7,718.96	$7,718.96	$9,162.98