Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $8,709.64	Facility		$1,659.59	$2,754.23	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $5,623.41	Professional		$1,659.59	$2,238.72	$5,623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,677.35	Professional		$2,290.87	$3,162.28	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,570.88	Professional		$1,905.46	$2,691.53	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,715.35	Facility		$1,659.59	$2,454.71	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
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 $1,659.59 / $2,398.83 / $4,265.80	Professional		$1,659.59	$2,398.83	$4,265.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $39,810.72 / $39,810.72	Facility		$56.23	$39,810.72	$39,810.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61