Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.89 / $1,616.89 / $3,281.45	Facility		$1,616.89	$1,616.89	$3,281.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.31 / $1,616.89 / $1,616.89	Professional		$1,015.31	$1,616.89	$1,616.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,955.15 / $1,955.15 / $1,955.15	Professional		$1,955.15	$1,955.15	$1,955.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.05 / $3,222.42 / $3,968.50	Facility		$1,979.05	$3,222.42	$3,968.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.42 / $1,629.29 / $1,792.22	Professional		$1,512.42	$1,629.29	$1,792.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,343.79 / $1,599.98 / $1,599.98	Facility		$1,343.79	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $2,867.25	Professional		$1,167.99	$1,599.98	$2,867.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $699.67 / $1,616.89 / $2,555.00	Facility		$699.67	$1,616.89	$2,555.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $1,222.00 / $1,525.00	Professional		$1,222.00	$1,222.00	$1,525.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,606.90 / $2,606.90 / $4,008.20	Professional		$2,606.90	$2,606.90	$4,008.20
United Facility/Professional Professional Modifier Low / Median / High Price $903.15 / $1,083.78 / $1,700.27	Professional		$903.15	$1,083.78	$1,700.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,155.22 / $13,749.35 / $13,749.35	Facility		$4,155.22	$13,749.35	$13,749.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,894.08 / $13,894.08 / $16,292.93	Professional		$13,894.08	$13,894.08	$16,292.93