Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $12,302.69	Facility		$3,162.28	$5,128.61	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $8,912.51	Professional		$3,162.28	$3,981.07	$8,912.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $8,912.51	Professional		$4,073.80	$7,585.78	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $8,511.38	Professional		$3,090.30	$4,677.35	$8,511.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $7,762.47	Facility		$3,162.28	$4,365.16	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,897.79	Professional		$4,365.16	$4,365.16	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,466.84 / $7,943.28	Professional		$3,090.30	$4,466.84	$7,943.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74,131.02 / $74,131.02	Facility		$56.23	$74,131.02	$74,131.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35