Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.69 / $2,522.69 / $5,119.79	Facility		$2,522.69	$2,522.69	$5,119.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,566.87 / $2,522.69 / $2,522.69	Professional		$1,566.87	$2,522.69	$2,522.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,542.06 / $2,542.06 / $2,542.06	Professional		$2,542.06	$2,542.06	$2,542.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,717.45 / $3,260.94 / $6,191.74	Facility		$2,717.45	$3,260.94	$6,191.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,931.96 / $2,542.06 / $2,542.06	Professional		$1,931.96	$2,542.06	$2,542.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,096.61 / $2,117.90 / $2,117.90	Facility		$2,096.61	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,677.29 / $4,123.88	Professional		$1,546.07	$1,677.29	$4,123.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,091.64 / $2,522.69 / $3,816.92	Facility		$1,091.64	$2,522.69	$3,816.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $1,906.00 / $2,378.00	Professional		$1,906.00	$1,906.00	$2,378.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,970.10 / $4,970.10 / $7,641.80	Professional		$4,970.10	$4,970.10	$7,641.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,299.15 / $1,690.94 / $2,652.79	Professional		$1,299.15	$1,690.94	$2,652.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,778.82 / $20,855.07 / $20,855.07	Facility		$6,778.82	$20,855.07	$20,855.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $21,074.59 / $21,074.59 / $31,063.35	Professional		$21,074.59	$21,074.59	$31,063.35