Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $6,181.97 / $11,251.26	Facility		$1,615.00	$6,181.97	$11,251.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $200.67 / $6,793.60	Professional		$80.65	$200.67	$6,793.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $140.38 / $9,555.12	Professional		$120.12	$140.38	$9,555.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $4,580.50 / $13,503.80	Professional		$144.61	$4,580.50	$13,503.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $3,835.24 / $10,332.48	Professional		$113.80	$3,835.24	$10,332.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $4,406.08 / $7,842.78	Facility		$85.39	$4,406.08	$7,842.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,862.44 / $6,862.44 / $6,862.44	Professional		$6,862.44	$6,862.44	$6,862.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,062.30 / $7,062.30 / $7,062.30	Professional		$7,062.30	$7,062.30	$7,062.30
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,862.47 / $7,319.94 / $13,012.58	Professional		$4,862.47	$7,319.94	$13,012.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $410.50 / $410.50	Facility		$55.00	$410.50	$410.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,018.09 / $29,730.28 / $33,272.48	Professional		$15,018.09	$29,730.28	$33,272.48