Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $3,311.31	Facility		$1,202.26	$1,202.26	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,659.59	Professional		$1,000.00	$1,202.26	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $4,786.30	Facility		$2,570.40	$3,388.44	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,467.37	Professional		$1,288.25	$1,513.56	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $3,981.07	Facility		$1,148.15	$2,398.83	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,137.96	Facility		$1,096.48	$1,380.38	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,570.40	Professional		$2,344.23	$2,344.23	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $1,862.09	Facility		$912.01	$1,778.28	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,659.59	Professional		$630.96	$912.01	$1,659.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $11,481.54	Professional		$7,585.78	$7,585.78	$11,481.54