Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,715.35 / $3,890.45	Facility		$1,380.38	$3,715.35	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,445.44	Professional		$776.25	$1,174.90	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $3,981.07	Facility		$2,290.87	$3,548.13	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,818.38	Professional		$1,000.00	$1,584.89	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,754.23 / $4,570.88	Facility		$1,122.02	$2,754.23	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,238.72	Facility		$851.14	$1,445.44	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,951.21	Professional		$2,691.53	$2,691.53	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $1,737.80	Facility		$707.95	$1,380.38	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,737.80	Professional		$588.84	$707.95	$1,737.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $13,182.57	Professional		$8,709.64	$8,709.64	$13,182.57