Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.13 / $1,615.00 / $6,953.60	Facility		$1,289.13	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.36 / $1,307.47 / $2,191.52	Professional		$1,228.36	$1,307.47	$2,191.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,782.16 / $1,782.16 / $1,782.16	Professional		$1,782.16	$1,782.16	$1,782.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.24 / $2,150.96 / $3,266.47	Professional		$1,280.24	$2,150.96	$3,266.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.10 / $1,875.87 / $3,343.78	Professional		$1,310.10	$1,875.87	$3,343.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,289.13 / $1,597.55 / $2,380.98	Facility		$1,289.13	$1,597.55	$2,380.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,494.37 / $1,665.00 / $3,413.73	Professional		$1,494.37	$1,665.00	$3,413.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.09 / $1,535.10 / $2,777.30	Professional		$1,289.09	$1,535.10	$2,777.30
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.77 / $1,505.67 / $3,490.00	Professional		$1,109.77	$1,505.67	$3,490.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,752.32 / $11,765.76	Facility		$55.00	$9,752.32	$11,765.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,211.20 / $9,211.20 / $11,277.23	Professional		$9,211.20	$9,211.20	$11,277.23