Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,715.35 / $8,128.31	Facility		$1,202.26	$3,715.35	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,949.84	Professional		$831.76	$1,000.00	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,570.40	Professional		$1,047.13	$1,318.26	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,344.23	Professional		$933.25	$1,288.25	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,238.72	Professional		$1,445.44	$1,445.44	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,819.70	Facility		$933.25	$1,202.26	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,995.26	Professional		$1,318.26	$1,659.59	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,748.98 / $18,620.87	Facility		$4,786.30	$11,748.98	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,862.09	Professional		$776.25	$1,047.13	$1,862.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $28,840.32	Facility		$17,378.01	$17,378.01	$28,840.32
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