Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.58 / $4,073.80 / $8,709.64	Facility		$0.58	$4,073.80	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $4,677.35	Professional		$1,513.56	$1,862.09	$4,677.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $4,265.80	Professional		$1,819.70	$3,311.31	$4,265.80
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 $1,659.59 / $2,398.83 / $4,265.80	Professional		$1,659.59	$2,398.83	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,801.89	Professional		$2,884.03	$2,884.03	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,388.44	Facility		$1,621.81	$2,137.96	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,235.94	Professional		$2,344.23	$2,570.40	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,791.08 / $22,908.68	Facility		$5,370.32	$14,791.08	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,467.37	Professional		$1,380.38	$1,862.09	$3,467.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $33,884.42	Facility		$19,952.62	$19,952.62	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $14,454.40	Professional		$12,589.25	$12,589.25	$14,454.40