Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,457.29 / $2,457.29 / $4,987.03	Facility		$2,457.29	$2,457.29	$4,987.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.34 / $2,457.29 / $2,457.29	Professional		$1,430.34	$2,457.29	$2,457.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,971.37 / $2,971.37 / $2,971.37	Professional		$2,971.37	$2,971.37	$2,971.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,007.67 / $4,897.33 / $6,031.20	Facility		$3,007.67	$4,897.33	$6,031.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.87 / $2,476.14 / $2,476.14	Professional		$1,881.87	$2,476.14	$2,476.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $3,749.63	Professional		$1,257.05	$1,721.98	$3,749.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $2,457.29 / $3,717.95	Facility		$887.57	$2,457.29	$3,717.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,847.00 / $1,847.00 / $2,317.00	Professional		$1,847.00	$1,847.00	$2,317.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,304.40 / $3,304.40 / $5,084.60	Professional		$3,304.40	$3,304.40	$5,084.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.46 / $1,647.10 / $2,388.29	Professional		$1,265.46	$1,647.10	$2,388.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,499.00 / $17,378.68 / $17,378.68	Facility		$5,499.00	$17,378.68	$17,378.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,575.11 / $17,575.11 / $20,668.43	Professional		$17,575.11	$17,575.11	$20,668.43