Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,818.38	Professional		$1,479.11	$2,187.76	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $6,760.83	Facility		$2,818.38	$3,388.44	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,884.03	Professional		$2,570.40	$2,570.40	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,137.96	Facility		$1,513.56	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,691.53	Professional		$1,548.82	$1,548.82	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,344.23	Professional		$1,584.89	$1,698.24	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $4,897.79	Facility		$1,479.11	$2,754.23	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $2,691.53	Facility		$1,412.54	$2,570.40	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,630.27	Professional		$1,412.54	$1,698.24	$2,630.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility		$20,892.96	$20,892.96	$20,892.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $30,902.95	Professional		$20,892.96	$20,892.96	$30,902.95