Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.47 / $6,953.60 / $13,764.00	Facility		$640.47	$6,953.60	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.47 / $659.68 / $1,192.88	Professional		$640.47	$659.68	$1,192.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,141.23 / $1,141.23	Professional		$1,141.23	$1,141.23	$1,141.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.04 / $1,154.58 / $1,896.07	Professional		$873.04	$1,154.58	$1,896.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.30 / $1,090.11 / $1,723.20	Professional		$734.30	$1,090.11	$1,723.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.47 / $908.46 / $1,625.84	Facility		$640.47	$908.46	$1,625.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $908.46 / $908.46 / $1,620.33	Professional		$908.46	$908.46	$1,620.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,073.70 / $1,629.70	Professional		$6.00	$1,073.70	$1,629.70
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 $645.76 / $919.81 / $1,828.66	Professional		$645.76	$919.81	$1,828.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,233.74 / $16,223.75 / $26,542.00	Facility		$4,233.74	$16,223.75	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,850.93 / $4,850.93 / $5,463.15	Professional		$4,850.93	$4,850.93	$5,463.15