Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,073.84 / $3,073.84 / $6,238.30	Facility		$3,073.84	$3,073.84	$6,238.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,915.68 / $3,073.84 / $3,073.84	Professional		$1,915.68	$3,073.84	$3,073.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,716.90 / $3,716.90 / $3,716.90	Professional		$3,716.90	$3,716.90	$3,716.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,762.29 / $6,126.10 / $7,544.46	Facility		$3,762.29	$6,126.10	$7,544.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,354.04 / $3,097.42 / $3,097.42	Professional		$2,354.04	$3,097.42	$3,097.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,554.66	Facility		$2,550.04	$2,550.04	$2,554.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $5,325.75	Professional		$1,861.53	$2,550.04	$5,325.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $3,073.84 / $4,650.80	Facility		$1,314.38	$3,073.84	$4,650.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,322.00 / $2,322.00 / $2,898.00	Professional		$2,322.00	$2,322.00	$2,898.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,984.39 / $4,984.39 / $7,663.80	Professional		$4,984.39	$4,984.39	$7,663.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,582.97 / $2,069.09 / $3,223.60	Professional		$1,582.97	$2,069.09	$3,223.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,775.58 / $25,846.18 / $25,846.18	Facility		$7,775.58	$25,846.18	$25,846.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $26,362.41 / $26,362.41 / $31,152.60	Professional		$26,362.41	$26,362.41	$31,152.60