Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,709.64 / $14,454.40	Facility		$2,137.96	$8,709.64	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,365.16	Professional		$1,548.82	$2,041.74	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $4,265.80	Professional		$1,862.09	$2,754.23	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,168.69	Professional		$1,659.59	$2,454.71	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,162.28	Facility		$1,659.59	$2,137.96	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,041.74 / $3,311.31	Professional		$5.01	$2,041.74	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,302.69 / $19,054.61	Facility		$4,466.84	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,630.78	Professional		$1,445.44	$1,949.84	$3,630.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $33,884.42	Facility		$16,595.87	$16,595.87	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $14,791.08	Professional		$12,882.50	$12,882.50	$14,791.08