Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $8,456.00 / $11,986.00	Facility		$1,615.00	$8,456.00	$11,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.96 / $1,493.04 / $2,796.01	Professional		$1,275.96	$1,493.04	$2,796.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,208.64 / $1,209.32 / $2,978.24	Professional		$1,208.64	$1,209.32	$2,978.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,390.72 / $2,180.17 / $4,177.67	Professional		$1,390.72	$2,180.17	$4,177.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.01 / $1,864.24 / $3,954.71	Professional		$1,341.01	$1,864.24	$3,954.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,275.96 / $1,888.95 / $2,411.57	Facility		$1,275.96	$1,888.95	$2,411.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $264.45 / $377.79 / $415.56	Facility	80	$264.45	$377.79	$415.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $185.12 / $264.45 / $290.89	Facility	AS	$185.12	$264.45	$290.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $1,658.00 / $2,077.80	Professional		$1,658.00	$1,658.00	$2,077.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14,152.94 / $14,152.94 / $14,152.94	Facility		$14,152.94	$14,152.94	$14,152.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.47 / $1,572.12 / $2,315.85	Professional		$1,275.47	$1,572.12	$2,315.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $1,636.18 / $3,535.98	Professional		$1,246.08	$1,636.18	$3,535.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $14,907.95	Facility		$5,897.00	$5,897.00	$14,907.95
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $304.29 / $341.87 / $1,413.06	Facility	AS	$304.29	$341.87	$1,413.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,366.67 / $11,366.67 / $11,366.67	Professional		$11,366.67	$11,366.67	$11,366.67