Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,548.13 / $3,715.35	Facility		$1,047.13	$3,548.13	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,288.25	Professional		$758.58	$1,023.29	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $3,467.37	Facility		$2,187.76	$3,388.44	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,691.53	Professional		$954.99	$1,230.27	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,041.74 / $3,388.44	Facility		$851.14	$2,041.74	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,659.59	Facility		$812.83	$1,148.15	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,187.76	Professional		$1,995.26	$1,995.26	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $1,348.96	Facility		$676.08	$1,318.26	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,318.26	Professional		$549.54	$676.08	$1,318.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $9,772.37	Professional		$6,456.54	$6,456.54	$9,772.37