Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,561.90 / $3,561.90 / $7,228.84	Facility		$3,561.90	$3,561.90	$7,228.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.31 / $3,561.90 / $3,561.90	Professional		$2,073.31	$3,561.90	$3,561.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,589.22 / $3,589.22 / $3,589.22	Professional		$3,589.22	$3,589.22	$3,589.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,836.90 / $4,604.28 / $8,742.36	Facility		$3,836.90	$4,604.28	$8,742.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,727.81 / $3,589.22 / $3,589.22	Professional		$2,727.81	$3,589.22	$3,589.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $4,999.88	Professional		$1,811.20	$2,481.10	$4,999.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,270.53 / $3,561.90 / $5,389.26	Facility		$1,270.53	$3,561.90	$5,389.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,677.00 / $2,677.00 / $3,358.00	Professional		$2,677.00	$2,677.00	$3,358.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,728.89 / $4,728.89 / $7,278.50	Professional		$4,728.89	$4,728.89	$7,278.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.35 / $2,600.65 / $3,032.69	Facility		$1,516.35	$2,600.65	$3,032.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,834.32 / $2,387.50 / $3,371.03	Professional		$1,834.32	$2,387.50	$3,371.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,551.78 / $24,984.00 / $24,984.00	Facility		$8,551.78	$24,984.00	$24,984.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,321.57 / $27,321.57 / $29,586.30	Professional		$27,321.57	$27,321.57	$29,586.30