Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.12 / $6,953.60 / $14,528.00	Facility		$485.12	$6,953.60	$14,528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $1,371.44 / $2,575.29	Professional		$289.50	$1,371.44	$2,575.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,851.58 / $2,851.58 / $2,851.58	Professional		$2,851.58	$2,851.58	$2,851.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $1,617.64 / $3,823.01	Professional		$513.91	$1,617.64	$3,823.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.87 / $1,030.88 / $3,076.87	Professional		$390.87	$1,030.88	$3,076.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $289.50 / $1,371.44 / $2,333.52	Facility		$289.50	$1,371.44	$2,333.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,974.21 / $1,974.21 / $1,974.21	Professional		$1,974.21	$1,974.21	$1,974.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.63 / $510.83 / $2,212.71	Professional		$411.63	$510.83	$2,212.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,406.91 / $2,096.92 / $3,739.78	Professional		$1,406.91	$2,096.92	$3,739.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,966.32 / $1,966.32	Facility		$55.00	$1,966.32	$1,966.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,803.78 / $9,169.20 / $10,808.03	Professional		$4,803.78	$9,169.20	$10,808.03