Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,511.38 / $14,454.40	Facility		$1,548.82	$8,511.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,951.21	Professional		$1,047.13	$1,258.93	$2,951.21
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 $1,288.25 / $1,513.56 / $3,019.95	Professional		$1,288.25	$1,513.56	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,754.23	Professional		$1,148.15	$1,621.81	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,238.72	Facility		$1,174.90	$1,513.56	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,398.83	Professional		$1,698.24	$2,041.74	$2,398.83
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 $954.99 / $1,288.25 / $2,398.83	Professional		$954.99	$1,288.25	$2,398.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $33,884.42	Facility		$8,912.51	$8,912.51	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $10,000.00	Professional		$8,511.38	$8,511.38	$10,000.00