Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.88 / $4,729.50 / $9,648.00	Facility		$814.88	$4,729.50	$9,648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.99 / $700.96 / $1,331.00	Professional		$574.99	$700.96	$1,331.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $530.08 / $530.08 / $530.08	Professional		$530.08	$530.08	$530.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.26 / $1,012.31 / $1,694.57	Professional		$699.26	$1,012.31	$1,694.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.37 / $992.25 / $1,694.93	Professional		$599.37	$992.25	$1,694.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.72 / $870.80 / $1,576.75	Facility		$640.72	$870.80	$1,576.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $748.37 / $748.37 / $1,607.25	Professional		$748.37	$748.37	$1,607.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $21,075.10 / $21,075.10 / $21,075.10	Facility		$21,075.10	$21,075.10	$21,075.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $960.17 / $1,406.20	Professional		$5.00	$960.17	$1,406.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $791.11 / $2,004.08	Professional		$580.54	$791.11	$2,004.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,704.10 / $7,909.30 / $26,542.00	Facility		$3,704.10	$7,909.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,932.42 / $5,932.42 / $5,932.42	Professional		$5,932.42	$5,932.42	$5,932.42