Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,282.84 / $3,282.84 / $6,662.49	Facility		$3,282.84	$3,282.84	$6,662.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,973.14 / $3,282.84 / $3,282.84	Professional		$1,973.14	$3,282.84	$3,282.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,969.63 / $3,969.63 / $3,969.63	Professional		$3,969.63	$3,969.63	$3,969.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.29 / $4,243.55 / $8,057.42	Facility		$3,536.29	$4,243.55	$8,057.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,070.73 / $3,308.02 / $3,308.03	Professional		$3,070.73	$3,308.02	$3,308.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $5,085.75	Professional		$1,787.62	$2,448.80	$5,085.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $3,282.84 / $4,967.04	Facility		$1,262.19	$3,282.84	$4,967.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,467.00 / $2,467.00 / $3,095.00	Professional		$2,467.00	$2,467.00	$3,095.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,138.10 / $5,138.10 / $7,900.10	Professional		$5,138.10	$5,138.10	$7,900.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.61 / $2,200.44 / $3,190.66	Professional		$1,690.61	$2,200.44	$3,190.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,369.96 / $20,504.11 / $20,504.11	Facility		$7,369.96	$20,504.11	$20,504.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $22,086.40 / $22,086.40 / $32,113.28	Professional		$22,086.40	$22,086.40	$32,113.28