Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.95 / $1,582.95 / $1,582.95	Facility		$1,582.95	$1,582.95	$1,582.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.25 / $1,582.95 / $1,582.95	Professional		$798.25	$1,582.95	$1,582.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,627.00 / $1,627.00 / $1,627.00	Professional		$1,627.00	$1,627.00	$1,627.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.40 / $1,739.28 / $3,302.44	Facility		$1,449.40	$1,739.28	$3,302.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.58 / $1,355.84 / $1,357.20	Professional		$1,258.58	$1,355.84	$1,357.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,037.25	Facility		$1,037.25	$1,037.25	$1,037.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $2,059.13	Professional		$757.19	$1,037.25	$2,059.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,204.47 / $1,582.95 / $1,899.54	Facility		$1,204.47	$1,582.95	$1,899.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,357.20 / $1,357.20	Professional		$1,357.20	$1,357.20	$1,357.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,541.69 / $2,541.69 / $3,908.10	Professional		$2,541.69	$2,541.69	$3,908.10
United Facility/Professional Professional Modifier Low / Median / High Price $685.43 / $893.83 / $1,357.20	Professional		$685.43	$893.83	$1,357.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,240.43 / $10,513.18 / $10,513.18	Facility		$3,240.43	$10,513.18	$10,513.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,644.35 / $15,885.90 / $15,885.90	Professional		$10,644.35	$15,885.90	$15,885.90