Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.88 / $7,439.00 / $19,567.28	Facility		$1,195.88	$7,439.00	$19,567.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.68 / $1,267.58 / $2,407.48	Professional		$1,137.68	$1,267.58	$2,407.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,733.81 / $1,864.88 / $1,864.88	Professional		$1,733.81	$1,864.88	$1,864.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,736.14 / $5,736.14 / $8,196.23	Facility		$5,736.14	$5,736.14	$8,196.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.39 / $2,124.04 / $3,370.65	Professional		$1,350.39	$2,124.04	$3,370.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $14,551.31	Facility		$606.10	$606.10	$14,551.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.06 / $1,721.86 / $3,081.13	Professional		$1,329.06	$1,721.86	$3,081.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,195.88 / $1,496.26 / $2,438.96	Facility		$1,195.88	$1,496.26	$2,438.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,524.00 / $1,583.00	Professional		$579.00	$1,524.00	$1,583.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.50 / $1,858.54 / $2,034.41	Professional		$1,606.50	$1,858.54	$2,034.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.72 / $1,435.03 / $3,186.54	Professional		$1,026.72	$1,435.03	$3,186.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,738.15 / $41,974.14 / $48,089.50	Facility		$5,738.15	$41,974.14	$48,089.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,345.25 / $9,345.25 / $10,556.63	Professional		$9,345.25	$9,345.25	$10,556.63