Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $8,317.64	Facility		$1,202.26	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,398.83	Professional		$831.76	$1,023.29	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $2,454.71	Professional		$1,000.00	$1,778.28	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,290.87	Professional		$1,412.54	$1,412.54	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,778.28	Facility		$933.25	$1,202.26	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,949.84	Professional		$1,412.54	$1,659.59	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,332.54 / $14,454.40	Facility		$2,454.71	$9,332.54	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,949.84	Professional		$776.25	$1,000.00	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $8,317.64	Professional		$6,918.31	$6,918.31	$8,317.64