Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.23 / $1,619.23 / $3,286.17	Facility		$1,619.23	$1,619.23	$3,286.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.23 / $1,619.23 / $1,619.23	Professional		$973.23	$1,619.23	$1,619.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,631.66 / $1,631.66 / $1,631.66	Professional		$1,631.66	$1,631.66	$1,631.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.23 / $2,093.08 / $3,974.26	Facility		$1,744.23	$2,093.08	$3,974.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,514.61 / $1,631.66 / $2,079.00	Professional		$1,514.61	$1,631.66	$2,079.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $2,508.38	Professional		$881.72	$1,207.83	$2,508.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $1,619.23 / $2,449.92	Facility		$622.55	$1,619.23	$2,449.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,223.00 / $1,527.00	Professional		$1,223.00	$1,223.00	$1,527.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,534.30 / $2,534.30 / $3,896.60	Professional		$2,534.30	$2,534.30	$3,896.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $833.87 / $1,085.34 / $1,573.76	Professional		$833.87	$1,085.34	$1,573.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,054.32 / $10,094.70 / $10,094.70	Facility		$4,054.32	$10,094.70	$10,094.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,121.92 / $12,121.92 / $15,839.33	Professional		$12,121.92	$12,121.92	$15,839.33