Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,760.83 / $19,498.45	Facility		$1,202.26	$6,760.83	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,951.21	Professional		$1,122.02	$1,380.38	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $8,128.31	Facility		$5,754.40	$5,754.40	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $3,388.44	Professional		$1,258.93	$2,137.96	$3,388.44
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 $1,230.27 / $1,659.59 / $3,019.95	Professional		$1,230.27	$1,659.59	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,818.38	Professional		$1,995.26	$1,995.26	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,454.71	Facility		$1,202.26	$1,621.81	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,398.83	Professional		$1,737.80	$1,905.46	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $14,791.08 / $22,908.68	Facility		$6,309.57	$14,791.08	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,570.40	Professional		$1,023.29	$1,348.96	$2,570.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $47,863.01 / $47,863.01	Facility		$45,708.82	$47,863.01	$47,863.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $10,471.29	Professional		$9,332.54	$9,332.54	$10,471.29