Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,675.81 / $2,675.81 / $5,430.50	Facility		$2,675.81	$2,675.81	$5,430.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.78 / $2,675.81 / $2,675.81	Professional		$1,717.78	$2,675.81	$2,675.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,696.34 / $3,235.61 / $3,235.61	Professional		$2,696.34	$3,235.61	$3,235.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,882.38 / $3,458.86 / $6,567.54	Facility		$2,882.38	$3,458.86	$6,567.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,049.21 / $2,696.34 / $2,696.34	Professional		$2,049.21	$2,696.34	$2,696.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,223.85	Facility		$2,160.07	$2,160.07	$2,223.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $4,775.25	Professional		$1,576.85	$2,160.07	$4,775.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $2,675.81 / $4,048.56	Facility		$1,113.38	$2,675.81	$4,048.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,021.00 / $2,021.00 / $2,523.00	Professional		$2,021.00	$2,021.00	$2,523.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,469.50 / $4,469.50 / $6,872.00	Professional		$4,469.50	$4,469.50	$6,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.18 / $1,793.56 / $2,657.57	Professional		$1,437.18	$1,793.56	$2,657.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,920.29 / $18,674.96 / $18,674.96	Facility		$6,920.29	$18,674.96	$18,674.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,461.27 / $19,461.27 / $27,934.13	Professional		$19,461.27	$19,461.27	$27,934.13