Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $9,772.37	Facility		$1,548.82	$2,570.40	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,344.23 / $3,548.13	Professional		$724.44	$2,344.23	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $8,912.51	Facility		$6,606.93	$8,912.51	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $4,677.35	Professional		$1,318.26	$2,454.71	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,265.80 / $7,585.78	Facility		$1,445.44	$4,265.80	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $4,466.84	Professional		$1,348.96	$2,187.76	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,630.78	Facility		$1,862.09	$2,344.23	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,090.30	Professional		$2,951.21	$2,951.21	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,951.21 / $3,467.37	Facility		$1,445.44	$2,951.21	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,951.21	Professional		$1,230.27	$1,445.44	$2,951.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $21,877.62	Professional		$14,454.40	$14,454.40	$21,877.62