Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $8,709.64	Facility		$1,862.09	$2,951.21	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,011.87	Professional		$1,659.59	$2,089.30	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $4,677.35	Professional		$1,862.09	$2,630.27	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,466.84	Professional		$1,513.56	$2,454.71	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,548.13	Facility		$1,659.59	$2,238.72	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,548.13 / $4,265.80	Professional		$7.08	$3,548.13	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $6,309.57	Facility		$309.03	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,715.35	Professional		$1,548.82	$1,995.26	$3,715.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $16,982.44 / $16,982.44	Facility		$56.23	$16,982.44	$16,982.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $16,218.10	Professional		$13,182.57	$13,182.57	$16,218.10