Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $11,481.54	Facility		$1,513.56	$5,754.40	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $3,019.95	Professional		$1,380.38	$1,584.89	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $18,197.01	Facility		$12,589.25	$12,589.25	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $4,168.69	Professional		$1,737.80	$2,238.72	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,890.45	Professional		$1,621.81	$2,290.87	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,884.03	Facility		$1,513.56	$1,819.70	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,311.31	Professional		$2,041.74	$2,630.27	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $21,379.62 / $28,840.32	Facility		$9,549.93	$21,379.62	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,235.94	Professional		$1,288.25	$1,819.70	$3,235.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $51,286.14 / $51,286.14	Facility		$56.23	$51,286.14	$51,286.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $13,182.57	Professional		$10,964.78	$13,182.57	$13,182.57