Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.36 / $2,649.58 / $8,166.45	Facility		$196.36	$2,649.58	$8,166.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $1,828.27 / $3,032.00	Professional		$169.62	$1,828.27	$3,032.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.07 / $352.07 / $352.07	Professional		$352.07	$352.07	$352.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.75 / $2,223.42 / $5,039.75	Professional		$290.75	$2,223.42	$5,039.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $1,731.12 / $4,079.97	Professional		$229.33	$1,731.12	$4,079.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.36 / $1,946.93 / $3,309.78	Facility		$196.36	$1,946.93	$3,309.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,593.98 / $2,593.98 / $2,593.98	Professional		$2,593.98	$2,593.98	$2,593.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $2,370.57 / $3,056.30	Professional		$273.51	$2,370.57	$3,056.30
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,863.95 / $2,801.92 / $5,294.45	Professional		$1,863.95	$2,801.92	$5,294.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,247.57 / $3,247.57	Facility		$55.00	$3,247.57	$3,247.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,650.92 / $13,052.90 / $15,009.23	Professional		$6,650.92	$13,052.90	$15,009.23