Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.57 / $1,141.69 / $5,449.00	Facility		$143.57	$1,141.69	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $964.25 / $1,434.39	Professional		$143.57	$964.25	$1,434.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,036.60 / $2,036.60 / $2,036.60	Professional		$2,036.60	$2,036.60	$2,036.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.28 / $1,397.02 / $2,794.40	Professional		$334.28	$1,397.02	$2,794.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.78 / $956.85 / $2,561.25	Professional		$170.78	$956.85	$2,561.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.57 / $1,141.69 / $1,525.22	Facility		$143.57	$1,141.69	$1,525.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,525.22	Professional		$1,478.00	$1,478.00	$1,525.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $184.57 / $1,779.62	Professional		$106.09	$184.57	$1,779.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.58 / $1,311.30 / $2,857.03	Professional		$1,065.58	$1,311.30	$2,857.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $833.35	Facility		$55.00	$55.00	$833.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,172.53 / $7,886.96 / $9,303.98	Professional		$4,172.53	$7,886.96	$9,303.98