Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.46 / $7,724.00 / $24,887.51	Facility		$709.46	$7,724.00	$24,887.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $4,437.97 / $8,986.58	Professional		$418.69	$4,437.97	$8,986.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $696.79 / $696.79 / $696.79	Professional		$696.79	$696.79	$696.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.57 / $5,780.29 / $11,388.06	Professional		$745.57	$5,780.29	$11,388.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $1,507.58 / $9,901.65	Professional		$576.89	$1,507.58	$9,901.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $418.69 / $4,707.27 / $8,002.36	Facility		$418.69	$4,707.27	$8,002.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,048.70 / $6,048.70 / $6,048.70	Professional		$6,048.70	$6,048.70	$6,048.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $735.59 / $6,191.70 / $7,463.88	Professional		$735.59	$6,191.70	$7,463.88
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $21,463.00 / $28,898.00	Facility		$10,829.00	$21,463.00	$28,898.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,363.28 / $6,577.22 / $12,730.28	Professional		$4,363.28	$6,577.22	$12,730.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,829.54 / $2,829.54	Facility		$55.00	$2,829.54	$2,829.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,274.06 / $31,591.50 / $36,646.28	Professional		$16,274.06	$31,591.50	$36,646.28