Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.19 / $2,131.19 / $4,325.20	Facility		$2,131.19	$2,131.19	$4,325.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.52 / $2,131.19 / $2,131.19	Professional		$1,240.52	$2,131.19	$2,131.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,147.54 / $2,577.04 / $2,577.04	Professional		$2,147.54	$2,577.04	$2,577.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,608.48 / $4,247.42 / $5,230.81	Facility		$2,608.48	$4,247.42	$5,230.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,632.13 / $2,147.54 / $2,147.54	Professional		$1,632.13	$2,147.54	$2,147.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,771.21 / $1,800.00 / $1,800.00	Facility		$1,771.21	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $3,430.50	Professional		$1,314.00	$1,800.00	$3,430.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $2,131.19 / $3,224.54	Facility		$736.00	$2,131.19	$3,224.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,610.00 / $1,610.00 / $2,009.00	Professional		$1,610.00	$1,610.00	$2,009.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.60 / $2,734.60 / $4,216.30	Professional		$2,734.60	$2,734.60	$4,216.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.52 / $1,428.51 / $2,241.08	Professional		$1,097.52	$1,428.51	$2,241.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,971.05 / $11,959.60 / $11,959.60	Facility		$4,971.05	$11,959.60	$11,959.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,435.44 / $14,435.44 / $17,138.93	Professional		$14,435.44	$14,435.44	$17,138.93