Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,011.87 / $13,803.84	Facility		$645.65	$5,011.87	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,047.13 / $3,801.89	Professional		$389.05	$1,047.13	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $2,691.53	Professional		$346.74	$575.44	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $4,073.80	Professional		$512.86	$977.24	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $3,890.45	Professional		$467.74	$794.33	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $5,370.32	Professional		$660.69	$660.69	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $3,162.28	Facility		$407.38	$691.83	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,011.87	Professional		$2,089.30	$2,884.03	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $14,791.08 / $22,908.68	Facility		$5,011.87	$14,791.08	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,230.27 / $2,570.40	Professional		$389.05	$1,230.27	$2,570.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility	53	$5,754.40	$5,754.40	$5,754.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $18,620.87	Professional		$15,848.93	$15,848.93	$18,620.87