Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $6,456.54	Professional		$3,715.35	$5,011.87	$6,456.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $7,943.28	Professional		$4,365.16	$4,365.16	$7,943.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,709.64 / $17,378.01	Facility		$7,244.36	$8,709.64	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $7,413.10	Professional		$6,606.93	$6,606.93	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,025.60 / $6,025.60	Facility		$1,862.09	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $10,000.00	Professional		$4,365.16	$4,365.16	$10,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,365.16 / $5,623.41	Professional		$4,073.80	$4,365.16	$5,623.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $12,302.69	Facility		$3,630.78	$7,079.46	$12,302.69
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 $3,235.94 / $5,888.44 / $6,918.31	Facility		$3,235.94	$5,888.44	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $6,165.95	Professional		$3,388.44	$4,365.16	$6,165.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $63,095.73	Professional		$43,651.58	$43,651.58	$63,095.73