Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,801.89	Facility		$1,380.38	$1,380.38	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,659.59	Professional		$1,148.15	$1,380.38	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $5,495.41	Facility		$2,951.21	$3,890.45	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,981.07	Professional		$1,479.11	$1,737.80	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,570.88	Facility		$1,318.26	$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 $1,122.02 / $1,548.82 / $2,398.83	Facility		$1,122.02	$1,548.82	$2,398.83
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 $1,047.13 / $2,041.74 / $2,137.96	Facility		$1,047.13	$2,041.74	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,905.46	Professional		$724.44	$1,047.13	$1,905.46
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