Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.38 / $1,714.38 / $2,957.41	Facility		$1,714.38	$1,714.38	$2,957.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.10 / $1,714.38 / $1,714.38	Professional		$850.10	$1,714.38	$1,714.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,284.64 / $1,284.64 / $1,762.08	Professional		$1,284.64	$1,284.64	$1,762.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,569.72 / $1,883.66 / $3,576.62	Facility		$1,569.72	$1,883.66	$3,576.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.99 / $1,468.40 / $1,468.40	Professional		$1,115.99	$1,468.40	$1,468.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,211.10	Facility		$1,184.20	$1,184.20	$1,211.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $2,499.75	Professional		$864.47	$1,184.20	$2,499.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $1,714.38 / $2,228.69	Facility		$568.52	$1,714.38	$2,228.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,374.00	Professional		$1,101.00	$1,101.00	$1,374.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,118.19 / $2,118.19 / $3,256.80	Professional		$2,118.19	$2,118.19	$3,256.80
United Facility/Professional Professional Modifier Low / Median / High Price $733.85 / $976.76 / $1,532.37	Professional		$733.85	$976.76	$1,532.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,127.85 / $11,179.36 / $11,179.36	Facility		$3,127.85	$11,179.36	$11,179.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,145.17 / $14,145.17 / $14,145.17	Professional		$14,145.17	$14,145.17	$14,145.17