Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,890.45	Facility		$1,412.54	$1,412.54	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,698.24	Professional		$1,174.90	$1,412.54	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,623.41	Facility		$3,890.45	$3,890.45	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $4,073.80	Professional		$1,479.11	$1,737.80	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $3,715.35	Facility		$1,148.15	$2,754.23	$3,715.35
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 $1,348.96 / $1,513.56 / $2,089.30	Facility		$1,348.96	$1,513.56	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
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 / $2,089.30 / $2,137.96	Facility		$1,047.13	$2,089.30	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,949.84	Professional		$741.31	$1,047.13	$1,949.84
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