Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.24 / $1,830.24 / $3,157.29	Facility		$1,830.24	$1,830.24	$3,157.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.21 / $1,830.24 / $1,830.24	Professional		$909.21	$1,830.24	$1,830.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,567.64 / $1,567.64 / $1,567.64	Professional		$1,567.64	$1,567.64	$1,567.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,904.14 / $3,100.49 / $3,818.34	Facility		$1,904.14	$3,100.49	$3,818.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.41 / $1,567.64 / $1,567.64	Professional		$1,191.41	$1,567.64	$1,567.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,292.94 / $1,306.07 / $1,306.07	Facility		$1,292.94	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $2,589.75	Professional		$953.43	$1,306.07	$2,589.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,830.24 / $2,379.31	Facility		$673.20	$1,830.24	$2,379.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,175.00 / $1,421.19	Professional		$1,175.00	$1,175.00	$1,421.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,344.30 / $3,344.30 / $5,142.00	Professional		$3,344.30	$3,344.30	$5,142.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.16 / $1,042.77 / $1,595.72	Professional		$801.16	$1,042.77	$1,595.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,180.38 / $11,870.73 / $11,870.73	Facility		$4,180.38	$11,870.73	$11,870.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,377.22 / $13,377.22 / $20,901.90	Professional		$13,377.22	$13,377.22	$20,901.90