Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.64 / $4,043.69 / $7,993.00	Facility		$422.64	$4,043.69	$7,993.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $986.81 / $2,319.00	Professional		$269.69	$986.81	$2,319.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $789.22 / $848.62 / $2,052.62	Professional		$789.22	$848.62	$2,052.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.34 / $2,527.11 / $3,362.73	Professional		$497.34	$2,527.11	$3,362.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.62 / $1,296.50 / $3,038.71	Professional		$393.62	$1,296.50	$3,038.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $282.61 / $1,184.17 / $3,675.10	Facility		$282.61	$1,184.17	$3,675.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,835.51 / $1,835.51 / $1,835.51	Professional		$1,835.51	$1,835.51	$1,835.51
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,753.27 / $2,753.27 / $2,753.27	Professional	50	$2,753.27	$2,753.27	$2,753.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $383.48 / $1,348.89 / $1,655.03	Professional		$383.48	$1,348.89	$1,655.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,437.46 / $9,447.00 / $14,589.00	Facility		$2,437.46	$9,447.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.07 / $1,922.56 / $2,833.42	Professional		$1,092.07	$1,922.56	$2,833.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $1,839.72 / $26,542.00	Facility		$1,839.72	$1,839.72	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,157.00 / $11,420.36 / $11,536.43	Professional		$9,157.00	$11,420.36	$11,536.43