Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.83 / $1,537.39 / $2,913.17	Facility		$1,261.83	$1,537.39	$2,913.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.83 / $1,537.39 / $3,025.92	Professional		$1,261.83	$1,537.39	$3,025.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,305.47 / $1,305.47 / $1,305.47	Professional		$1,305.47	$1,305.47	$1,305.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,171.79 / $1,171.79 / $1,188.89	Facility		$1,171.79	$1,171.79	$1,188.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.44 / $2,670.39 / $4,765.89	Professional		$1,654.44	$2,670.39	$4,765.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,155.83	Facility		$606.10	$606.10	$1,155.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.67 / $2,376.48 / $4,047.76	Professional		$1,664.67	$2,376.48	$4,047.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.08 / $2,082.00 / $3,242.03	Facility		$1,287.08	$2,082.00	$3,242.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,062.00 / $2,323.00 / $2,323.00	Professional		$2,062.00	$2,323.00	$2,323.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.10 / $2,070.10 / $4,801.70	Professional		$2,070.10	$2,070.10	$4,801.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.72 / $2,211.02 / $4,420.24	Professional		$1,461.72	$2,211.02	$4,420.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,389.32 / $6,389.32	Facility		$55.00	$6,389.32	$6,389.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,538.00 / $11,734.30 / $13,273.73	Professional		$9,538.00	$11,734.30	$13,273.73