Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.55 / $2,559.55 / $5,194.58	Facility		$2,559.55	$2,559.55	$5,194.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,544.16 / $2,559.55 / $2,559.55	Professional		$1,544.16	$2,559.55	$2,559.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,095.03 / $3,095.03 / $3,095.03	Professional		$3,095.03	$3,095.03	$3,095.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,132.81 / $5,101.14 / $6,282.19	Facility		$3,132.81	$5,101.14	$6,282.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,960.18 / $2,579.19 / $2,579.19	Professional		$1,960.18	$2,579.19	$2,579.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,127.23 / $2,400.00 / $2,400.00	Facility		$2,127.23	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,400.00 / $4,293.00	Professional		$1,752.00	$2,400.00	$4,293.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,058.63 / $2,559.55 / $3,872.69	Facility		$1,058.63	$2,559.55	$3,872.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,934.00 / $1,934.00 / $2,413.00	Professional		$1,934.00	$1,934.00	$2,413.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,017.80 / $4,017.80 / $6,177.50	Professional		$4,017.80	$4,017.80	$6,177.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.51 / $1,715.64 / $2,526.89	Professional		$1,366.51	$1,715.64	$2,526.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,398.54 / $20,817.16 / $20,817.16	Facility		$6,398.54	$20,817.16	$20,817.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $21,693.67 / $21,693.67 / $25,111.05	Professional		$21,693.67	$21,693.67	$25,111.05