Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,754.23	Facility		$1,000.00	$1,000.00	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,230.27	Professional		$831.76	$1,000.00	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,981.07	Facility		$2,818.38	$2,818.38	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,884.03	Professional		$1,071.52	$1,258.93	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,995.26 / $3,311.31	Facility		$954.99	$1,995.26	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,548.82	Facility		$812.83	$1,071.52	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $1,548.82	Facility		$758.58	$1,479.11	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,380.38	Professional		$524.81	$758.58	$1,380.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $9,549.93	Professional		$6,309.57	$6,309.57	$9,549.93